AMA CPT® Assistant - 1997 Issue 4 (April)

Maternity Care and Delivery, 59425, 59426 (Q&A) (April 1997)

April 1997 page 11 Coding Consultation Maternity Care and Delivery, 59425, 59426 (Q&A) Question My physician, who is an OB/GYN, saw a patient and provided only the antepartum care because the patient delivered elsewhere. How would I report the antepartum care? AMA Comment From a CPT coding perspective, if the physician treats the patient 4-6 visits, then you should report CPT code 59425, Antepartum care only; 4-6 visits. If the physician treats the patient 7 or more times, then report code 59426, Antepartum care only; 7 or more visits. In this instance, you should report only one code...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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