Tuesday, May 10, 2016

CPT CODE 59425, 59426 And S5100 with modifier usage

Incomplete Antepartum Care Service CPT

Billing for Incomplete Antepartum Care

59425 When billing for four to six prenatal visits
59426 When billing for seven or more prenatal visits with or without an initial visit


Postpartum Care 

Service CPT Modifier

Billing for Multiple Deliveries  For additional babies:    59409, 59514, 59612, or 59620  51 and 59


Oral and Maxillofacial 

Surgery Service HCPCS

Oral and Maxillofacial Surgery
Do not use CPT procedure code 41899, as this is an unspecified code and will cause delay in payment for services.


Physician Service Policy Service Modifier

Locum Tenens and Reciprocal Billing
Q5 - Service furnished by a substitute physician under a reciprocal billing arrangement.
Q6 - Service furnished by a locum tenens physician


Adult Day Care (Health) HCPCS Description Modifier Place of Service


S5100 Day Care Services, Adult
1 Unit = 15 minutes
U2 modifier is no longer required when billing this service code.
12 Home 99 Other (Community)

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