Wiki Modifer TH

baskiles

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Local Chapter Officer
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Smyrna, TN
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Hello All,
I've just been introduced to modifier TH- and am wondering if using modifier TH helps to get the E/M office visits paid when we did not see an OB patient enough to bill OB global. We would bill E/M office visits when the patient transfers out with 3 or less visits and/or miscarries before 3 or more, etc. basically doesn't meet the qualification to bill OB global charges. Does TH modifier help get the claims paid without having to make a phone call and/or providing medical records? What's your experience using TH modifier?
 
Hi, usually we only use TH for Medicaid antepartum visits. I don't know of any other payers that require it. In WI we use with 3 or less visits, otherwise billing 59425/26; however, in TX, they bill each visit as it occurs with e&m-TH
 
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