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Billing for normal delivery

  1. Default Billing for normal delivery
    Medical Coding Books
    Now i am confused!!! I am trying to bill for a normal delivery and single liveborn. 650 and v27.0. Claim is kicked back--what am i doing wrong in terms of getting paid for this service? Help!!!!

  2. #2
    Default
    Are you billing a global CPT? If so, you need a global OB code to go with the delivery (650) & the outcome (V27.0). Try resubmitting with a V22.x also. I put it in at the #2 spot in dx order.

    Becky, CPC

  3. Default
    Hi Becky--

    Thanks for the info. I am not billing a global CPT. What are the global CPT codes for normal delivery and outcome?

  4. #4
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    Quote Originally Posted by miriam j View Post
    Now i am confused!!! I am trying to bill for a normal delivery and single liveborn. 650 and v27.0. Claim is kicked back--what am i doing wrong in terms of getting paid for this service? Help!!!!
    If you are billing for the global service (antepartum, delivery, postpartum) normal vaginal delivery: CPT 59400 with ICD-9 650, V27.0. There should be no problem in getting this paid.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    Delivery only is 59409 (59410 if you are providing postpartum care). If your doc provided all antepartum care in addition to the delivery, you'd bill a 59400. There are other codes to consider if cesarean was involved or if patient was a VBAC, but it doesn't sound like this was the case.

    The 650 + V27.0 diagnosis codes are all that's needed on a delivery only code & are usually sufficient even if you're billing the full global code. Maybe there's something else wrong with your claim?

    Becky

  6. #6
    Default Normal delivery only- 59409
    59409 Vaginal delivery only (with or without episiotomy and/or forceps),
    This CPT is most appropriate for Normal Delivery.



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