Effective for DOS 4/15/25 and thereafter EmblemHealth (Medicaid LOB) will require extra CPT II codes on the global maternity claims.
The following codes need to be present on the claims:
- 0500F (Initial Prenatal Visit)
- 0502F (Subsequent Prenatal Visit) or
- 0503F (Postpartum visit) for each corresponding visit provided to the patient within the obstetric global period being billed
These codes are NOT separately reimbursed- they are only for reporting purposes.
The reimbursement is included in the global code 59400.
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