Read TCM - High Risk Pregnancy Crosswalk.xls text version

TCM - High Risk Pregnancy

Local Descriptor Local Code 05050 Assessment 05051 Care coordination and referral or health and parenting education 05052 Care planning and preparation 05053 Case monitoring 05054 Case reevaluation CPT / HCPCS Code H1000 H1002 H1003 ------H1001 H1001 H1004 CPT / HCPCS Descriptor Prenatal care, at-risk assessment Prenatal care, at-risk enhanced service; care coordination Prenatal care, at-risk enhanced service; education -------------------------------------------------Prenatal care, at-risk enhanced service; antepartum management Prenatal care, at-risk enhanced service; antepartum management Prenatal care, at-risk enhanced service; follow-up home visit

** Services rendered and billed to NDMA as Targeted Case Management for High Risk Pregnancy must be face-to-face services with the patient/recipient.

** Providers must have documentation that identifies the date and time a service was delivered, the number of minutes of service provided and the type of case management service that was provided to a recipient. If more than one type of case management service was delivered in a 15-minute period, bill for the service for which the most time was expended. EXAMPLE: Your spent 9 minutes on a antepartum management (H1001) and 6 minutes on education (H1003), you would bill one (1) unit for antepartum management (H1001).

Information

TCM - High Risk Pregnancy Crosswalk.xls

1 pages

Find more like this

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

452109


You might also be interested in

BETA
Welcome to the NYS Department of Health Program on Medicaid Prenatal Care Standards
Drager NIC JF07 placed.indd
HCPCS Fee Schedule