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Non global Ob care Antepartum visits

Staci Posted Thu 18th of August, 2016 15:00:09 PM
Question- When billing 59425 or 59426 for a date span that would contain ICD9 and ICD10 codes how do you handle- We have been billing the dates of service that were under ICD9 and than a separate claim for those under ICD10- I am being told by billing that insurances are denying claims Ex; pt was seen 08/01/2015- 12/31/2015 10 visits total We have been billing 59425 08/01/205 to 09/30/2015 with ICD9 codes (5 Visits)and than 10/01 to 12/31/2015 59425 with ICD10 codes (5 visits)
SuperCoder Answered Fri 19th of August, 2016 11:51:54 AM

Hi,

 

As per cms claim with date of service prior to October 1, 2015, submit with the appropriate ICD-9 procedure code. For claims with dates of service on or after October 1, 2015, submit with the appropriate ICD-10 procedure code. ICD-10 codes may only be used for services provided on or after October 1, 2015. Institutional claims containing ICD-10 codes for services prior to October 1, 2015, will be returned to provider. Likewise, professional and supplier claims containing ICD-10 codes for services prior to October 1, 2015, will be returned as unprocessable. Hence, submit this claim with the appropriate ICD-9 code. Split Claims - Require providers split the claim so all ICD-9 codes remain on one claim with dates of service through 9/30/2015 and all ICD-10 codes placed on the other claim with DOS beginning 10/1/2015 and later.

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