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Delivery only subsequent visits

K

kdziekan

Guru
Messages
114
Location
Vandalia, OH
When billing delivery only cpt’s (i.e. 59409 or 59514), can the E/M visits the day or two after the delivery be billed (i.e. subsequent visits 99231-99233)? Or are they included in the delivery only service? What are your sources/links to support your answer?
 
MATERNITY CARE AND DELIVERY CPT GUIDELINES:

Delivery services include admission to the hospital, the admission H & P, the management of uncomplicated labor, vaginal delivery (with or without episiotomy, with or without forceps), or c section.

When reporting delivery only services (59409,59514,59612,59620) report inpatient post delivery management and d/c services using E/M service codes (99217-99239).

Assuming your practice is not going to be doing the patients postpartum care after d/c.

Hope this helps.
 
We are receiving denial for the discharge 99238 from Superior (Medicaid). They are stating that is bundled
with the delivery 59409. Is there a modifier that needs to be attached. I do attach the U1/U2 to 59409.

I am not sure what I am missing or doing incorrectly.
 
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