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Need AAPC position on coding for antenal screeing


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Need feedback on coding for antenal screeing

Our OBGYN business office manager was told by BCBSMN to only use V22.0 - V23.9 codes on our routine antenal screening labs as they would not be applied to the patients deductible. We use V28.9 for our antenal screening labs and were told if V28.9 is used, then the test gets applied to the patients deductible. Our understanding with the US Preventative Services Task Force, antenal screening has to be covered. In reading The Coding Institute OBGYN Coding Alert May 2012, Vol. 15, No 5, Melanie Witt, RN, CPC, COBGA, MA stated "Medicare follows American Congress of Obstetricians and Gynecologists (ACOG) guidelines. Code V22.0 or V22.1 would not be correct for most routine antepartum testing. You should be using V28.x codes for this screening." We would like feedback on how to code for antenal screening when there is no complication and the labs are done for screening purposes only. Thanks!
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