SMcConnell0421
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Please advise the correct way to submit this claim. I'm getting conflicting information.
Patient was "Self Pay" for her first 4 visits then recieved state Medicaid for 4 visits then the state medicaid changed her to a CMO and she had 5 visits the delivery and postpartum under the CMO.
Do I bill the state medicaid E/M codes or the 4-6 visit antepartum? (59425) plus
Do I then bill the CMO E/M codes or an addition 4-6 visit antepartum, then delivery and postpartum separate? (E/M's x 5, 59410) or (59425, 59410) plus the first 4 visits (59425)
It was my understanding that only ONE antepartum could be billed PER PREGNANCY.
If so, I would bill- 59425, 5 x E/M visits and 59410?
Thank you for your help.
Patient was "Self Pay" for her first 4 visits then recieved state Medicaid for 4 visits then the state medicaid changed her to a CMO and she had 5 visits the delivery and postpartum under the CMO.
Do I bill the state medicaid E/M codes or the 4-6 visit antepartum? (59425) plus
Do I then bill the CMO E/M codes or an addition 4-6 visit antepartum, then delivery and postpartum separate? (E/M's x 5, 59410) or (59425, 59410) plus the first 4 visits (59425)
It was my understanding that only ONE antepartum could be billed PER PREGNANCY.
If so, I would bill- 59425, 5 x E/M visits and 59410?
Thank you for your help.