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Postpartum Care only - Diagnosis Code

  1. #1
    Location
    Charm City - Baltimore
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    103
    Default Postpartum Care only - Diagnosis Code
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    Hello!

    New to OB/GYN, so I apologize if this has been addressed before.

    Provider sees patient for postpartum care only. Patient six weeks out from C-section.

    Provider billed 99202 with V24.2.

    I was under the impression that if it was postpartum care only, it would be 59430 and V24.2.

    Is this correct?

    Thanks!

    Crystal
    Crystal, CPC, CCS-P

  2. #2
    Location
    Tacoma, WA
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    1,087
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    You are correct! Although billing the office visit with the postpartum care code is not totally incorrect. The provider might get a better reimbursement if they billed the Postpartum care CPT code.

  3. #3
    Location
    Charm City - Baltimore
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    103
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    Thanks - so you can bill both the E/M and postpartum care together?

    Crystal
    Crystal, CPC, CCS-P

  4. #4
    Default
    Hello all,

    I have also going through the similar kind of case, but the patient is billed with 59515 for the C-SECTION and now with post-partum care, since this CPT includes postpartum care, we have not coded and stated as inclusive study. Is this correct?

    Regards
    DP

  5. #5
    Location
    Tacoma, WA
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    1,087
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    Quote Originally Posted by CrysLednum View Post
    Thanks - so you can bill both the E/M and postpartum care together?

    Crystal
    Not the CPT codes. You bill either an E/M code or the Postpartum care code, but you can use the diagnosis code V24.2 on either one.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  6. #6
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by Anug123 View Post
    Hello all,

    I have also going through the similar kind of case, but the patient is billed with 59515 for the C-SECTION and now with post-partum care, since this CPT includes postpartum care, we have not coded and stated as inclusive study. Is this correct?

    Regards
    DP
    Correct. If you bill the delivery code that includes postpartum care, then the postpartum care is included in what you have already billed.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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