o09.5 elderly primi/multi

karmista

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I have a patient who will be 35 at time of Estimated date of delivery. According to the code book you can give the o09.5 code if they will be 35 at expected date of delivery. I have had some payer's deny this as they weren't 35 at date of service. Has anybody else had this happen to them?

Thank you,
April
 
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