Forum - Questions & Answers

Oct 23rd, 2013 - bjones2301 21 

Modifer for OB services

Our physician was seeing a patient for OB services. All antepartum visits were with this provder. The patient's delivery was done by a physican from another practice that was on call for our doctor. The patient then returned to our clinic for her six week post partum visit. I billed CPT® 59426(Antepartum care 7 or more visits) and 59430 (post partum care) I received a denial from a private insurance stating I need to append the appropriate modifier. I have billed many many insurance companies with these codes and never received this denial asking for a modifier. What Modifier would I use?



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