SKPierce
Guest
How to bill for a newborn well child visit (ex: 99391) along with the mothers postpartum (ex: 96161) under the newborn. Does the CPT 96161 need a modifier?
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Wiki Well Child Visit and Mother's Postpartum (96161) together
- Thread starter SKPierce
- Start date
SharonCollachi
Guest
The mother's visit is billed under the mother, not under the child. The child visit is billed under the child.
briesgift22
New
99391 and 96161. Yes, you bill both under the baby. No modifier needed
wlasher
New
I have a claim that denied the 96161 when we billed it to BCBS commercial insurance with 99391. Reason given was it was a non-covered service because it is a routine/preventative exam or a diagnostic/screening procedure done in conjunction with a routine/preventative exam. My provider is questioning why they are denying. I have searched EVERYWHERE, payor website, policies, guidelines and manuals, LCD & Article Lookup, NCD Lookup and I can not find a policy that states that this is a bundled service. Can anyone provide me with any guidance on this? Thank you in advance for your help.