I work for a midwifery group and keep getting denied for assist at C-section whether I code 59515 or 59514 with modifier AS and/or 80. I live in Florida and by what I have read Florida Medicaid, of which they see a lot of patients, only allows for modifier 80? No matter how I bill I am denied is there something I am missing that needs to be added to the 1500 form; I have read something about a U code? Please help as I cannot find any answers on this and am very frustrated.
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Wiki Coding for Assist at C-section
- Thread starter Dkito4me
- Start date
tracylc10
Guest
I am in Texas and we have to add MK and a U code (U1 - 39 wks or less, U2 - 39 wks or more). For an assist, I am guessing that you would also add 80.
Hope this helps.
Hope this helps.
Anastasia
Guru
In PA, medical assistance does not cover an assistant at surgery. Check your fee schedule to see if it is a covered service.
rpatterson
Contributor
Coding for assist at C-section
I had a denial for a physician that assisted with a C-section and tubal ligation that Medicaid denied. I am billing Alabama Medicaid and I found this in the provider manual: Assistant Surgeon Fees
The global rate includes assistant surgeon fees for cesarean (C-section) deliveries.
You will need to check with your local state Medicaid to see if they will reimburse with an assist or if it is bundled.
I had a denial for a physician that assisted with a C-section and tubal ligation that Medicaid denied. I am billing Alabama Medicaid and I found this in the provider manual: Assistant Surgeon Fees
The global rate includes assistant surgeon fees for cesarean (C-section) deliveries.
You will need to check with your local state Medicaid to see if they will reimburse with an assist or if it is bundled.