WebWhen you bill on a global basis for the care provided to an enrolled Horizon BCBSNJ member during a single maternity period, please keep the following guidelines in mind. DO NOT submit multiple global codes for the same pregnancy. DO NOT bill separately for maternity components. DO NOT bill separately for a delivery charge. WebReimbursement Policies We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement if the service is covered by an Anthem member’s benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement.
Obstetrical Billing & Multiple Birth Guidelines Quick
Web972-468-3984. Obstetrical Billing & Multiple Birth Guidelines. Pass-Through Billing. Preventive and Follow Up Colonoscopies. Proper Speech Therapy Billing. Services Rendered by Providers to Related Members and/or Self. Surgical Procedures Performed in the Physician's and Other Professional Provider's Office. Web‘Antepartum care only codes’ should be billed when the practitioner or practitioners of the same group, will not be performing all 3 components of global OB care (more than 3 antepartum visits, delivery, and postpartum care). Only one antepartum care code is allowed to be billed per pregnancy. ridgetop circle sterling
Basics for OB/GYN Billings - Medical Billing Services
WebMay 23, 2024 · 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. WebIncluded antepartum services: Monthly visits up to 28 weeks gestation, biweekly visits to 36 weeks gestation, and weekly visits until delivery Initial and subsequent history and … WebIt is appropriate to bill one of the following global CPT codes once for all services rendered during the maternity period of a particular patient. Routine obstetric care including … ridgetop collision center greenbrier tn