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59025 - For same date of service (DOS) and same provider, replace billing code ( + ) with only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceFor same date of service (DOS) and same provider, replace billing code ( + ) with only
Procedure / Service Description

Services are reimbursed when providers use the appropriate billing codes for the following scenarios - (amniotic fluid index). Services are reimbursed when providers use the appropriate billing codes for the following scenarios: For same date of service (DOS) and same provider, replace billing code (59025 + 76805) with 76818 only. For different DOS and any provider, with service billed within 7 days, replace (59025 + 76805) with (59025 + 76819).

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.