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Medicaid OB Coding

  1. Default Medicaid OB Coding
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    In need of help....

    New OB presents to the office at 33+ 5 weeks, has five visits prior to vaginal delivery. Delivery billed as 59410 (vaginal delivery with PP care). Physician wants to bill the visits prior to delivery with a visit code due to insufficient prenatal care, congenital abnormalities in previous pregnancy (O09.299) along with other high risk concerns.

    Do you use a 99213 or can it not be billed/coded?

  2. Default
    Hi, you would bill CPT 59425 - (4-6 antepartum visits) additionally to the delivery code you billed. With the insufficient prenatal care, congenital abnormalities in previous pregnancy (O09.299) along with other high risk concerns dx codes.

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