Ob-Gyn Coding Alert

Reader Question:

Tackle Payer Issues for Cord Blood Collection

Question: I know in the past it was common to use the unspecified code 59999 for cord blood collection at the time of delivery, but after reading up, I found that some people are using 59899. I tried using 59899, but the insurance company bundled it with the delivery. Did I use the wrong code? For some reason, I keep thinking I should have used S2140, but it's been awhile since I needed to bill one out. Kansas SubscriberAnswer: This question is one of coverage in addition to coding.  Many of the larger insurance companies will only cover the cord blood collection if the intent is to use the blood for a transfer within 36 months (which includes CIGNA). United and BCBS of Michigan will not cover it at all -- unless there is an immediate need for the transplant of cord blood (and in that case, BCBS requires you to report code [...]
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