jek521
Networker
Thanks to a precipitous birth, the baby was delived by a resident in a teaching hospital before our physician arrived. However, our physician did deliver the placenta, as well as provide all prenatal & postpartum care.
I do not think that CPT 59400 is billable in this case because the physician wasn't present for the actual delivery. I would code it out as 59426 + 59414 + 59430.
My co-worker is telling me that the global OB code is billable since: 1) a resident in a teaching hospital delivered the baby, and 2) our physician "delivered something."
I haven't found anything to support either position. I'm also not very familiar with the rules for teaching hospitals. Any suggestions? (with supporting references, if available)
Jenny
I do not think that CPT 59400 is billable in this case because the physician wasn't present for the actual delivery. I would code it out as 59426 + 59414 + 59430.
My co-worker is telling me that the global OB code is billable since: 1) a resident in a teaching hospital delivered the baby, and 2) our physician "delivered something."
I haven't found anything to support either position. I'm also not very familiar with the rules for teaching hospitals. Any suggestions? (with supporting references, if available)
Jenny