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Wiki E/M code for OB

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cfwh671

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A patient changed their insurance during the later part of their pregnancy. We could only bill the new insurance for 2 E/M visits plus the Delivery and postpartum. For the 2 E/M visits, I tried to bill 99214, but the insurance downcoded to 99213. The pregnancy was normal and uncomplicated. Am I able to appeal for a 99214 with the argument that more care is required after 32 weeks gestation? Is there an article or guideline that can back this?
 
I think it's hard to support a 99214 for a uncomplicated pregnancies e/m for an OB episode. I was thinking 99212, so the fact they down coded it to a 99213 I would be fine with it. ( I have 4 years experience in OB auditing and coding.)
 
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