AAPC - Back to school
Results 1 to 7 of 7

Thread: 59412 in the office setting

  1. #1

    Default 59412 in the office setting

    AAPC: Back to School
    Question, we have a patient that was seen in the office and the provider did do a 59412.
    The insurance is denying stating that Place of Service is not appropriate.
    Any thoughts?

  2. #2
    Join Date
    Apr 2007
    Kokomo, IN

    Default 59412

    So, the Dr. did the delivery in the office? CPT says 59412 should be coded in addition to the delivery code.

    Here's what CPT assistant says

    Services provided during delivery and reported separately include the following.

    Fetal scalp blood sampling (code 59030).
    External cephalic version (code 59412) which is reported in addition to the appropriate code for the delivery service.
    Administration of regional anesthesia (eg, epidural).

    All you mention is 59412.

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    I don't see why the external version can't be done in the office. There are non-facility RVU's for this code... What carrier denied?
    Lisa Bledsoe, CPC, CPMA

  4. #4


    Only the version was done in the office. I have had providers do them in the hospital and not deliver on the same day.

  5. #5


    Tufts denied the claim.
    I dont see why it cant be done in the office either.

  6. #6
    Join Date
    Apr 2007
    Greeley, Colorado


    Definately appeal.
    Lisa Bledsoe, CPC, CPMA

  7. #7


    I would appeal wht chart notes. I think they are primarily done in the outpatient hospital setting so the insurance company most likely just has edits that deny this automatically with your POS 11.

Similar Threads

  1. Myringoplasty in an office setting
    By rimiller in forum Billing/Reimbursement
    Replies: 0
    Last Post: 08-26-2014, 05:32 PM
  2. Supplies in an office setting
    By belindapearl in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 04-25-2013, 10:32 AM
  3. Can this be done in an office setting?
    By Lisa Bledsoe in forum General Surgery
    Replies: 0
    Last Post: 12-09-2008, 03:04 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?


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.