Wiki 01967/01968 crosses midnight denials

[ctown]

Florida Blue Shield is denying my OB claims that cross midnight 01967 to 01968. I was told by my provider rep that our company is the only company to have this problem (HUH??). Anyway...anyone can shed light on if I am doing something wrong? I have the DOS of the 01967 (11/21/14 and DOS for 01968 11/22/14) and the rejection is that they are missing the parent code (01967) and therefore denying. Well of course it is missing...it is on the prior DOS. Should I bill both codes DOS as 11/21/14? Any thoughts would be appreciated. This began last November and we have not changed anything. We were told we just have to appeal each and every claim.
Thanks

 

[pajohnson]

If you give me the times, I think that I can help you.

 

[ctown]

An example is

10/25/14 01967 (Vag) 22:41 to 13:54
10/26/14 01968 (C-section) 13:54 to 15:05

We are getting a N122 rejection "ADD ON CODE CANNOT BE BILLED BY ITSELF".

This was not a problem until Nov 2013 when Blue Shield began rejecting. We have always billed them this way. I appreciate any help!

 

[beachgrl62]

I would enter both with the date of 10/26/14. Yes, the epidural was started on the 25th but baby was born on the 26th and I typically use the date of birth for these. Please advise if this is incorrect. I have not had any reject.
Hope that helps.