I just code the date of service based on what the patient came in for. If its a problem visit I use the E &M with a V22.2 pregnancy state incidental code with the DX if its a headache etc. If it is just a prenatal visit then I just code the prenatal visit. The guideline is for high risk patients get 14 and low risk get 10, but if the patient gets seen more than that nothing I can do but show the insurance company we provided the service, although we wont be reimbursed for it. I think the only time that I would use a modifier -25 is if lets say a Rhogam shot was given or something the same day and then I would apply a -25 to the E&M visit, along with the shot codes.
- ICD-10 Training
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join