Hello,
I work for a FQHC and we are recently receiving denials when we bill for our delivery charges from Caresource and UHC Community Plan. Normally we bill CPT 59409 with DX O80 (encounter for full-term uncomplicated delivery) and the outcome of the delivery, usually Z37.0 (Single live birth). The claims have always paid until recently and we are receiving a denial that the DX codes are inconsistent with the procedure. Am I missing something?
Thank you!
I work for a FQHC and we are recently receiving denials when we bill for our delivery charges from Caresource and UHC Community Plan. Normally we bill CPT 59409 with DX O80 (encounter for full-term uncomplicated delivery) and the outcome of the delivery, usually Z37.0 (Single live birth). The claims have always paid until recently and we are receiving a denial that the DX codes are inconsistent with the procedure. Am I missing something?
Thank you!