Wiki Emergent post-partum hemorrhage

Messages
123
Location
Wantagh, New York
Best answers
0
OB/GYN: NY

We have a patient who delivered vaginally, on the same day (one hour within delivery)- patient had two PPHemorrhages and went into DIC.
Physician placed bakri balloon X2.

Patient also has Healthfirst we can only bill delivery and post-partum care
59410 U9

How should we go about billing?

Appreciate the help!
 
I am unfamiliar with Healthfirst but from what you indicate it sounds like you should add modifier 22 to your delivery code and then attach a very good op report. You will need to state that the postpartum bleeding was not a normal part of her delivery or pp care. Use the DIC ICD 10 - D65 and postpartum hemorrhage codes. You will have to fight for it. Good luck.
 
You can 'try' any code you want but my experience is that you will not be paid on the first try. You will have to appeal that the pp bleeding was not normal outcome. Since you originally stated you could ONLY charge a delivery code and not any other codes like 59160 I thought the 22 modifier your best chance. I hope you will post later on the route you took and how it worked out for you with this carrier.
 
Top