• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Newborn Circ Coverage

Create Wiki
T

tsalo

Contributor
Messages
10
Location
Hickory, NC
Best answers
0
It is my understanding that circs done within the 48/96 timeframe are billed under the moms insurance number using "baby boy" ie Smith as the patient. Can someone please confirm? Also, dx of phimosis. Thanks!
 
This maybe true for Hospital Billing--UB04 form.

As for the Physician Billing baby must be added on the parent's plan and must have a name that's not baby boy.

It is ok to use "Baby Boy" or Baby Girl" for Government plans, ex..Medicaid, Peach State, Wellcare, Amerigroup because Baby will have his/her own id numbers.

If you have any further questions, please reply to Thread.
 
consult before the circ

Do you have any success billing a consult in addition to the circ, the provider is an OB/GYN.. any thoughts would be appreciated..
 
dcheverie said:
Do you have any success billing a consult in addition to the circ, the provider is an OB/GYN.. any thoughts would be appreciated..
Click to expand...

A consultation for what problem, and requested by whom? I believe in routine situations a consultation could not be supported. Since a circumcision is a minor procedure, the evaluation and decision to do the procedure is considered inclusive. A consultation is not appropriate to bill unless there is a separate problem being evaluated, and which would also need to meet the definitions of a consultation, i.e. with a request initiated by another physician, etc.
 
You must log in or register to reply here.
Top