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unbundled ob global code

  1. Default unbundled ob global code
    Medical Coding Books
    I have a patient who has switched insurance midstream. Insurance #1 was in effect for visits 1-7, Insurnace #2 covered the next 5 visits plus delivery and post partum visits. What would be the best way to code this. I have thought about billing Ins. #1 for the antepartvisits 7 or more 59426 but I am unsure if it is appropriate to bill ins. #2 for routine care 59400. Is there a code for routine obstetric care, delivery and postpartum care only? If there is I can't seem to see it. Any advise would be appreciated.

  2. #2
    Kansas City, MO
    Insurance 1 - 59426
    Insurance 2 - 59410, 59425

    Now, I have heard of some carriers wanting the 59400 submitted with the -52 modifier for reduced services. It may boil down to your payers reimbursement policy and guidelines for situations like this.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  3. Question Ob-gyn Coding And Billing
    I Agree With A Jordan But Please Let Me Know How This Work Out Because I Also Code And Bill Ob/gyn Services.

    Veronica Thompson,cpc

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