Results 1 to 2 of 2

C section and BTL-each has to go to sep carrier

  1. #1
    Default C section and BTL-each has to go to sep carrier
    Medical Coding Books
    HI,

    I have a patient that has Metroplus for most medical services except family planning/sterilization - that has to go to NYS Medicaid. She has a c-section and BTL on same dos. (in this case the BTL is an add-on code). Do I split the claim or send a claim with both codes to each carrier and let them pay what they are responsible for? I am not familiar with this scenario and am wondering if anyone has any experience with these carriers. I checked their respective sites, but didn't see any info re this particular circumstance.

    Any help or guidance is appreciated.

    Thanks!

    Kathleen

  2. #2
    Default
    I would send the total claim to the primary insurance for the C Section and when/if the BTL is denied, then I would send the claim and EOB to NYS Medicaid. Hope this helps

Similar Threads

  1. Replies: 3
    Last Post: 11-08-2010, 12:10 PM
  2. help w/ BTL
    By dan528i in forum OB/GYN
    Replies: 1
    Last Post: 12-15-2009, 11:52 AM
  3. Laparascopy BTL
    By dan528i in forum OB/GYN
    Replies: 1
    Last Post: 07-30-2009, 03:47 PM
  4. C-sec + BTL
    By dan528i in forum OB/GYN
    Replies: 2
    Last Post: 03-10-2009, 03:50 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.