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Thread: pregnancy coding change of insurance

  1. #1

    Default pregnancy coding change of insurance

    AAPC: Back to School
    We have a pt who switched insurances part way thru her pregnancy. With her new insurance she had 6 prenatal visits prior to giving birth. Do I bill for these visits then the delivery only code or do I bill delivery code with antepartum and postparum care?

  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    I would bill the expired insurance for the Antepartum care 4-6 visits. The new ins would get the rest of the global delivery. Hope this helps.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3


    The first insurance gets billed antepartum care depending on the number of visits, 1-3 bill individually, 4-6 use 59425, and 7+ use CPT 59426.

    The new insurance is billed the same way for antepartum depending on the number of visits. The delivery gets billed as delivery w/ postpartum only, 59410 or 59515.

    This can no longer be billed as global now that the insurance has been split.

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