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referral for c/S

Tammy Posted Mon 08th of August, 2016 12:02:57 PM
Hi, we have an organization with many specialties with in it. This patient has Medicaid so we split bill. If she was sent to a OB specialist for the C-Section consult do we bill routine? 59425 or E/M for the counsult? please let me know. thx
SuperCoder Answered Tue 09th of August, 2016 09:35:09 AM
Hi, If the visit is included in the global package, the code will be 59425 or 59426. Else, the E/M code(99211-99215) will be coded.
Tammy Posted Wed 10th of August, 2016 08:51:00 AM
Thank you! this is not Global since Medicaid wants us to split bill so I e/m would be appropriate? thx!
SuperCoder Answered Thu 11th of August, 2016 06:24:38 AM

 Hi,

E/M code would be appropriate to be billed.

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