How do I bill CPT 59425?

Antepartum billing guidelines: For 1 to 3 visits: Use evaluation/management (E/M) office visit codes. For 4 to 6 visits: Use CPT code 59425. This code must not be billed by the same provider group in conjunction with 1 to 3 office visits, or in conjunction with CPT code 59426.

What is included in CPT 59425?

Primary care physicians providing only prenatal care should bill for the prenatal visits they have provided using CPT Code 59425 (antepartum care only; 4 to 6 visits) or CPT Code 59426 (antepartum care only; 7 or more visits), and will be reimbursed according to Aetna’s fee schedule.

What is procedure code 59610?

59610. Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care, after previous cesarean delivery. 59612.

What is procedure code 59430?

The Current Procedural Terminology (CPT®) code 59430 as maintained by American Medical Association, is a medical procedural code under the range – Vaginal Delivery, Antepartum and Postpartum Care Procedures.

What is the global period for cesarean section?

o The global maternity period for cesarean delivery is 90 days (59510, 59515, 59618, & 59622). A cesarean delivery is considered a major surgical procedure. Moda Health reimburses global maternity codes for services provided during the maternity period for uncomplicated pregnancies.

How do you bill global maternity?

When billing the global maternity fee for multiple gestation deliveries, the provider should use the appropriate CPT code (i.e., 59400 or 59610 for vaginal delivery or 59510 or 59618 for cesarean delivery) and add a modifier 22.

What is the CPT code for vaginal delivery?

To get access to this feature. CPT 59426, Under Vaginal Delivery, Antepartum and Postpartum Care Procedures. The Current Procedural Terminology (CPT) code 59426 as maintained by American Medical Association, is a medical procedural code under the range – Vaginal Delivery, Antepartum and Postpartum Care Procedures.

What is the CPT code for C section delivery?

CPT 59510, Under Cesarean Delivery Procedures. The Current Procedural Terminology (CPT) code 59510 as maintained by American Medical Association, is a medical procedural code under the range – Cesarean Delivery Procedures.

Does CPT 97597 need a modifier?

There are no bilateral T or F modifiers required. Furthermore, if you only bill these two codes together, there is no need to append any modifiers such as a 59 modifier to CPT 97598 when billing with CPT 97597. When it comes to both CPT 97597 and CPT 97598, you should bill these at their full allowed value.

What is the medical billing code 54405?

CPT 54405(Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders and reservoir) and CPT 54400 (Insertion of penile prosthesis, non-inflatable (semi-rigid)) are the most commonly billed codes for penile prosthesis procedures.