Wiki OB change of insurance

[Sanders2011]

Hi I am new to OB billing I have a patient that had Indiana Medicaid for 2 of her 6 total visits before delivering, on her third OB visit she no longer had Medicaid for the rest of her pregnancy or delivery she was self pay. My question is how do I bill out visits 3,4,5 & 6? Along with her delivery. My guess is bill out E/M codes for the rest of the visits and then bill out a vaginal delivery seperate?

Thanks for any help

 

[Thouvenel]

You bill out the E/M for the first 2 visits, then bill 59425 for the rest of her visits, bill out delivery/PP care to patient 59410.