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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

August 2017

Billing for Services for Multiple-Gestation Pregnancies


Harvard Pilgrim would like to offer providers a reminder on billing for obstetrical services for pregnancies involving multiple gestations. When billing for the ultrasound services represented by CPT codes 76802, 76810, 76812, and 76814 for multiple gestations, also report the appropriate ICD-10 diagnosis code to indicate the type of pregnancy — for example: 030.009 or 030.099 for a twin pregnancy; 030.109 or 030.101 for a triplet pregnancy; and 030.209 or 030.202 for a quadruplet pregnancy.
 
If the diagnosis code you are billing is not for a multiple-gestation pregnancy, Harvard Pilgrim will only allow for the reimbursement of one unit per day when the following procedure codes are reported: 59000; 59020; 76814; 76816; 76818-76821; 76825-76828.

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PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator