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

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

  2. #2
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    Kansas City, MO
    Posts
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    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, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

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