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pregnancy coding change of insurance

  1. Default pregnancy coding change of insurance
    Medical Coding Books
    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
    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. Default
    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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