WebPrimary 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 … WebThis ultrasound must be billed with an appropriate high risk diagnosis code from Table 4 below. A second detailed anatomic ultrasound is considered . medically necessary . if a new maternal fetal medicine specialist group is taking over care, a second opinion is required, or the patient . Page 1 of 14
Obstetrical and Gynecological Services Codes - Indiana …
WebApr 13, 2024 · The HHS-HCC is a risk adjustment model that calculates risk scores concurrently, which means it uses diagnoses from a period to predict costs in that same period. This model is used mainly for ... http://provider.indianamedicaid.com/ihcp/Publications/providerCodes/Obstetrical_and_Gynecological_Services_Codes.pdf black and macdonald ottawa
Planned Home Births & Births in Birth Centers billing guide
WebPregnancy Test Codes • Dx Codes – V72 40: Pregnancy examination or test pregnancyV72.40: Pregnancy examination or test, pregnancy unconfirmed (aka possible pregnancy, not confirmed yet) – V72.41: Pregnancy examination or test, negative result – V72 42: Pregnancy examination or test positiveV72.42: Pregnancy examination or test, … WebCODING: Words stricken are deletions; words underlined are additions. 88 (b) “Eligible client” means any of the following: 89 1. A pregnant woman or a woman who suspects she is 90 pregnant, and the family of such woman, who voluntarily seeks 91 pregnancy support services and any woman who voluntarily seeks 92 wellness services. 93 2. WebJun 1, 2024 · We’ll make coverage determinations post-service, with pre-pay based on the following: Up to 3 prenatal ultrasounds per pregnancy, for CPT ® codes 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816 and 76817, will be considered proven and medically necessary black and magazine