August 25, 2020: Clinic Antepartum Only Services

August 25, 2020: Attention Clinic (FQHC, RHC, IHC) Providers: Currently CHAMPS is allowing the limits associated with Antepartum Only codes (59425 and 59426) to be bypassed incorrectly. Once corrected, MDHHS will void all overpaid/ incorrectly billed claims associated with these codes.

When billing Antepartum Codes Only (59425 and 59426) the date of delivery should be reported as the To/From Dates of service with all previous dates of service reported in the claim notes section. These codes should not be reported on a brand-new claim for each date of service, as this is improper billing and will result in claims being taken back.