tci ED Coding & Reimbursement Alert - 2005 Issue 1

Reader Questions: Don't Include Postpartum Care for ED Service

Question: If a patient delivers a baby prior to arriving at the emergency department (ED), but the ED provider delivers the placenta and obtains a history and physical, which of the following should we bill?    59414 (Delivery of placenta [separate procedure])      59414 and 59430 (Postpartum care only [separate procedure])       59414 and 9928X (Appropriate ER E/M) The CPT Assistant for June 1996 states to bill 59414 and 59430, but they are both "separate procedures" and it just doesn't seem correct.     Georgia Subscriber Answer: The...

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