Wiki pregnancy coding change of insurance

Create Wiki
C

cooper1

Guru
Messages
100
Location
Templeton, PA
Best answers
0
We have a pt who switched insurances part way thru her pregnancy. With her new insurance she had 6 prenatal visits prior to giving birth. Do I bill for these visits then the delivery only code or do I bill delivery code with antepartum and postparum care?
 
I would bill the expired insurance for the Antepartum care 4-6 visits. The new ins would get the rest of the global delivery. Hope this helps.
 
The first insurance gets billed antepartum care depending on the number of visits, 1-3 bill individually, 4-6 use 59425, and 7+ use CPT 59426.

The new insurance is billed the same way for antepartum depending on the number of visits. The delivery gets billed as delivery w/ postpartum only, 59410 or 59515.

This can no longer be billed as global now that the insurance has been split.
 
You must log in or register to reply here.
Top