Wiki Billing Antepartum only codes and Tricare/Triwest

[BarbaraB05]

I have been billing the antepartum only codes (59425, 59426) with the To and From dates being the first visit date and last visit date with 1 unit. We have started to receive denials from Triwest/Tricare stating that the Date Span and DUT's do not match. I have been looking online and can't locate anything that specifically tells me how they want those claims billed. Does anyone have any ideas of an alternative way they may want these billed?

 

[angarcia896]

I bill out antepartum care to Tricare with the DOS as the first prenatal visit (to and from) and I add a claim note with the amount of visits pt had.