jebond123
Contributor
I am reaching out for advice on my claims for a patient who started with our OB practice at 34 weeks She had 5 visits and then we delivered. I submitted 59425 & 59410. The claim for 59425 was denied due to another doctor billing antepartum care during same pregnancy. I have always billed this scenario in this way and never received this type of denial before. Wouldn't the dates of service clear up duplicate submissions by different doctors? The Aetna rep I spoke with had no explanation except to advise that I could try to bill each visit individually. I would appreciate any input on this. Specifically, am I wrong in my assumption about antepartum billing? Should I have used a modifier? Of note, the delivery processed with no problems. Thanks to all for any help.