I have an office billing a mod TH on every OB visit. My online modifier handbook reads as follows:
TH Obstetrical treatment/services, prenatal or postpartum If a provider renders three or fewer antepartum care visits, the provider is required to include modifier TH with the appropriate E&M service code (99201-99215 and/or 99341-99350) to indicate that the code is being used for obstetrical treatment/services. If the services are HPSA eligible, the provider should include the HPSA modifier AQ in addition to modifier TH.
The office gets reimbursed more when they use the TH modifier. Am I misunderstanding something here? Is it carrier specific? If the office is correct in billing a TH modifier, can a mod 25 be added for an injection for RH negative mother?
TH Obstetrical treatment/services, prenatal or postpartum If a provider renders three or fewer antepartum care visits, the provider is required to include modifier TH with the appropriate E&M service code (99201-99215 and/or 99341-99350) to indicate that the code is being used for obstetrical treatment/services. If the services are HPSA eligible, the provider should include the HPSA modifier AQ in addition to modifier TH.
The office gets reimbursed more when they use the TH modifier. Am I misunderstanding something here? Is it carrier specific? If the office is correct in billing a TH modifier, can a mod 25 be added for an injection for RH negative mother?
Modifier TH
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