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Clinic Delivery

  1. Default Clinic Delivery
    Medical Coding Books
    We are a large family/general practice that also provides some OB care to underinsured patients.

    Last week, one of our doctor's was doing an antepartum visit and discovered the woman was in advanced labor. He wound up delivering the baby there in the clinic. We also provided the post-partum care once baby and mom were transported to the hospital.

    How in the world do I bill this? We don't bill global codes, so all the antepartum visits have been separately billed out.

    Do we use a 59409 with the office place of service, and then a 59430 with the hospital place of service? Also, is there a different RVU for office delivery as opposed to hospital delivery? Are modifiers appropriate here?

    Thanks for any insights!

  2. Default
    CPT code59409 with I wonder E/M service/Prolonged Service in office setting applicable under this situation.
    We have Diag code: Forced Birth/Delivery NEC; 669.8 with 5th digit 0-4. and V code-V24.0 to support the service.
    This is just an openion.
    Hope some one who has dealt with situation like this or IP Coders would be in a beter position to help us out


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