Practice Quiz

Insurance and Medical Coding Test Prep

Category - Free Coding Specialist Practice Test

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A 23-year old woman, pregnant with her second child, received antepartum care from her physician in Atlanta, GA. After 9 visits with her physician in Atlanta, the patient moved to Albuquerque, NM where she continued her prenatal care with a new doctor. The new physician saw the patient for the remaining antepartum visits. The new physician also performed vaginal delivery and postpartum care, which included the 6-week postpartum checkup. How should the physician in Atlanta code for his services?
  1. 59426
  2. 59425
  3. 59410
  4. 59430
Explanation
Answer: A - The physician in Atlanta should code for his services with code 59426 (Antepartum Care Only, 7 or More Visits).The patient only saw her Atlanta physician 9 times, therefore the Atlanta physician can only code for the antepartum care that he provided. Code 59425 is only 4-6 antepartum visits. Codes 59410 and 59430 are also incorrect because they refer to postpartum care, which in this case, was provided by the physician in Albuquerque.
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