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antepartum only

Tammy Posted Thu 28th of January, 2016 08:46:09 AM


A single claim submission code of 59425 or 59426 is to be on a claim when a provider did antepartum only. How would we be able to split bill the whole antepartum visits when it comes to two different years. example a provider had 7 on 2015 and 5 on 2016. How do we bill? 59426 (2015) 59425 (2016) Most insurance does not like it when the date ranges are 2015/2016 two different years on claim is why we have the question. Thanks in advance!

SuperCoder Answered Fri 29th of January, 2016 02:50:06 AM

If the provider had 7+ antepartum visits the appropriate code to be billed is 59426 irrespective of the visits in 2015 or 2016.

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