I understand your problem. Sometimes these get paid and other times they are not. It adds up to a lot of money to just write off. We use an initial E/M visit and the use the add on codes of 99354-99355.
It might have to do with dx coding. I am wondering if it because we only use the pregnancy code or complication of pregnancy codes. I just read a post today that recommended using 659.91 or 659.92 Unspecified indication for care or intervention related to labor and delivery and then providing sufficient documentation as to WHY there was extensive services provided.
Still new to this myself! Any other suggestions anyone? Looking for answers too.
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