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Thread: HELP! How do you bill for antepartum visits.... - Pt has Aetna ins. My dr has seen

  1. #1

    Default HELP! How do you bill for antepartum visits.... - Pt has Aetna ins. My dr has seen

    AAPC: Back to School
    Pt has Aetna ins. My dr has seen pt throughout her pregnancy but she delivered at a different hospital with a different dr. At the beginning we billed her antepartum ob visits as 59425,nc(no charge - included in global maternity pkg.) (8 visits). Now I understand we need to bill her ins for each of these visits. How do I code these? Do I bill E/M code 99213-5 for each one or do I use the 59426 code (7 or more antepartum visits only)??? Thanks for much needed help on this.

    Kelly H.
    Last edited by ank3t; 10-04-2016 at 05:28 AM.

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    If she had 8 antepartum visits you would bill 59426 only once. You only bill individual E/M's for 3 or less visits, once they go over 3 you used the 5942x codes.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


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