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Wiki postpartum visit

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bcousino

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What do you guy's have to say about a postpartum visit at 9 weeks?

This patient has not been seen in the office since delivery and the note states that normal postpartum visit.

I am being told that the follow up needs to be done 6 weeks or before for vaginal delivery and 8 or before for C section.

I do not see the date range in the CPT book but I am new to OB/GYN billing.

Thoughts?
 
The ACOG coding workshop manual states "Typical pospartum services...include one visit normally provided at six weeks". There is a little wiggle room in that statement. Check the committee opinions or guidelines on the ACOG website.
 
I thought the post partum visit in included in delivery charge like 59400 I have accidently charged out a post partum visit to BCBS 59430 and it was recouped. In Texas we can charge 1 post partum on Medicaid only after 46 after delivery. Can anyone tell me if I am wrong?

Cathy
 
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