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Post by John Craine on Oct 6, 2015 8:28:05 GMT -5
Can somebody with billing and coding knowledge tell us the ICD-10 codes applicable to CenteringPregnancy?
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ljurkiewicz
New Member
Posts: 14 
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by ljurkiewicz on Jan 31, 2016 16:57:30 GMT -5
I don't know the codes off the top of head because I am still getting used to ICD10, but it is Normal pregnancy. And you can delineate for the first, second and third trimester. You can also delineate multigravida and primipara.
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Post by Margie on Feb 19, 2016 21:59:04 GMT -5
Coding for Centering is the same as coding for individual visits unless enhanced coding is approved in your state and has been adopted by the specific payer, or included in a managed care contract.
Additionally, the coding varies as some systems have a global contract with the payers and some bill by encounter. The diagnosis codes for Pregnancy are used - V220 or V221.
The E&M codes are based on the intensity of the moms served, and they are 99211, 99212, 99213, 99214 or 99215 . When these are used, we have to remember that we are coding for intensity not time.
Hope this helps?
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Cynthia CE Wade
Active Member
Posts: 69
I work at a: Professional Organization
My job role is: Healthcare Provider
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Post by Cynthia CE Wade on Mar 5, 2016 12:10:53 GMT -5
Just did some research on this for a CIP site. And here is what I found.
ICD-10 I would assume it would be this type of coding for ICD-10
• 009.91 High Risk Pregnancy in 1st trimester
• 009.92 High Risk Pregnancy in 2nd trimester
• 009.93 High Risk Pregnancy in 3rd trimester
• Z34.81 Supervision of Normal pregnancy in 1st trimester
• Z34.82 Supervision of Normal pregnancy in 2nd
• Z34.83 Supervision of Normal pregnancy in 3rd trimester
• Or any variation …
As mention before, it is just your normal diagnostic codes for pregnancy.
CPT code 99211, 99212, 99213 (what I use the most for Centering) , 99214, 99215
If your state has enhanced reimbursement for Centering groups care, you will have to check with the powers-that-be in the state to make sure you are coding right.
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