laker
New
Your help is greatly appreciated!
Please advise the proper and acceptable way to bill this.
Patient saw one OB/GYN for entire pregnancy, no other provider provided care. Patient was uninsured for majority of her pregnancy. Insurance became effective 23 days prior to her normal vaginal delivery. She was seen for 7 antepartum visits prior to insurance becoming effective. She was seen for 3 visits plus her delivery and postpartum care while insured.
Since CPT does not specify a minimum number of visits for 59400 global care for entire obstetric care, delivery and postpartum, would it be acceptable to bill 59400
or
Should the care be split up as 59426 ? billable to patient as she was uninsured, then 3 separate E/M visits billed to insurance and 59410 for vaginal delivery with postpartum care.
Thank you in advance for your time in regards to this matter.
Lorrae, CPC
Please advise the proper and acceptable way to bill this.
Patient saw one OB/GYN for entire pregnancy, no other provider provided care. Patient was uninsured for majority of her pregnancy. Insurance became effective 23 days prior to her normal vaginal delivery. She was seen for 7 antepartum visits prior to insurance becoming effective. She was seen for 3 visits plus her delivery and postpartum care while insured.
Since CPT does not specify a minimum number of visits for 59400 global care for entire obstetric care, delivery and postpartum, would it be acceptable to bill 59400
or
Should the care be split up as 59426 ? billable to patient as she was uninsured, then 3 separate E/M visits billed to insurance and 59410 for vaginal delivery with postpartum care.
Thank you in advance for your time in regards to this matter.
Lorrae, CPC