If you are a provider in NY and accept Managed Medicaid or Fee-for-service Medicaid plan types, then this blog post post is for you!
For any DOS (for deliveries on July 1, 2024) and thereafter, the OBGYN providers billing bundled/global OBGYN codes, are also required to bill the following CPT II reporting codes.
Global OBGYN codes:
CPT category II codes:
Reimbursement- none
These CPT category II codes are only for reporting purposes.
For MCO- Managed Medicaid Members – if amount is needed in order to accept/generate a claim provider could put a charge of $0.01.
Claim submission:
Providers need to submit a separate claim with CPT category II codes at the time that the member comes in for the prenatal/postnatal visit.
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