What does CPT code 59430 include?
Vaginal Delivery
CPT® 59430 in section: Vaginal Delivery, Antepartum and Postpartum Care Procedures.
How many times can you bill CPT 59430?
59430 gets billed once per patient (if not billed global) for all postpartum care. Please note from above: Typical postpartum care includes ONGOING EVALUATION…. It can be one or more visits.
Does 59430 need a modifier?
Postpartum visits within 21 to 56 days of delivery should be submitted using code 59430 with modifier-TH. Postpartum visits outside of the 21 to 56 day time period should be submitted using the appropriate E&M code or 59430 without the modifier. Global codes will be denied.
Is 59430 An E&M code?
Inpatient Evaluation and Management (E/M) service provided within 24 hours of delivery. Management of uncomplicated labor. Routine outpatient E/M services provided within 42 days following delivery. Postpartum care after vaginal or cesarean section delivery (CPT code 59430).
How is Bill antepartum care only?
If the patient is treated for antepartum services only, the physician should use:
- CPT code 59426 if 7 or more visits are provided.
- CPT code 59425 if 4-6 visits are provided.
- An evaluation/management visit code for each visit if only providing 1-3 visits.
What does antepartum care mean?
Antepartum care, also referred to as prenatal care, consists of the all-encompassing management of patients throughout their pregnancy course. After the first positive pregnancy test, care is typically sought by patients and begun after confirmed sonographic intrauterine pregnancy.
How can I bill my high risk pregnancy?
For high-risk and complications of pregnancy, use the code from Chapter 15, another code for pre-existing conditions, if any, and the weeks of gestation code. It would seem that if your Medicaid program wants the visits billed as they happen, it is more likely that you’ll be paid.
How do you bill antepartum care only?
What does 59430 stand for?
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. Subscribe to Codify and get the code details in a flash.
What does 59430 mean?
59430 is the US ZIP code of Denton – Montana How to pronounce 59430?
What is a billing procedure?
Review Billing Information (Billing Clerk)