Wiki Proper cpt code 59425 usage

[Kswindler20]

I'm having trouble finding an answer to my question regarding global code 59425. Our nurse practitioners are allowed to see patients for prenatal care up to 20 weeks gestation (4 prenatal visits total). When billing these visits for patients with Medicaid, I know to use an E/M code per visit with a TH modifier. When billing these visits for patients with Commercial insurance, I know to use E/M codes for 1-3 visits with a TH modifier and global code 59425 for 1-4 visits. I'm only supposed to submit the global code once so do I wait until the last visit and use the date range to document the 4 dates of service? or is there a code I should be submitting for visit 1-3 and then submit the global code for visit 4?

 

[Cmama12]

If the patient has 4 -6 visits, you would bill with 59425. This is billed with the DOS of the last visit. The only insurance that requires a date range is UHC, at least in my coding world, but you would have to check the requirements for the insurance you are billing.