Billing

Antepartum Visits
Normal antepartum visits are reported with ICD-9 codes as either V22.0 or V22.1.   If there is a complication of pregnancy, the appropriate ICD-9 code should be used and coded to the highest level of specificity.   Providers may indicate the code or provide a written description of the diagnosis and the billing staff will assign the correct ICD-9 code.

Antepartum visits begin with the first visit by our OB providers (OB Intake) for antepartum care.

Less than 4 total antepartum visits we must bill appropriate E&M:
For less than 4 total antepartum visits, we are to use appropriate E&M services.   Providers should determine the appropriate level of service. The billing staff will provide the Antepartum Care form along with a copy of the original router and visit documentation.   Providers will determine the level of care for each date of service.   Normal antepartum visits are reported with ICD-9 codes as either V22.0 or V22.1.   If there is a complication of pregnancy, the appropriate ICD-9 code should be used and coded to the highest level of specificity.   Providers may indicate the ICD -9 code or provide a written description of the diagnosis and the billing staff will assign the correct ICD-9 code.   These visits should be billed under the provider who provided this service.   If a NP, PA or Midwife provided the service and is not credentialed with the carrier we are billing, the appropriate supervising provider should be listed on the claim form as the provider.

4-6 antepartum visits procedure code 59425.
If a patient receives a total of 4-6 antepartum visits, we will bill Medicaid carriers (FQHC) with procedure code 59425 and the appropriate ICD-9 code (usually V22.0 or V22.1 for normal antepartum visits).   If there is a complication of pregnancy, the appropriate ICD-9 code should be used and coded to the highest level of specificity.   Providers may indicate the ICD-9 code or provide a written description of the diagnosis and the billing...