Modifier TH identifies “obstetrical treatment/services, prenatal and postpartum” and must be reported with each code for antepartum visits and deliveries and postpartum care.

When billing 62319 (Epidurals), the TH modifier must be listed first and the 59 modifier listed second. 

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OB/GYN Frequently Asked Questions

How long is the postpartum period in which Magnolia Health Plan (Magnolia) will cover pregnant women after delivery?  

• Medicaid defines postpartum services as services inclusive of both hospital and office visits following vaginal and cesarean section deliveries. Eligible pregnant women continue to be eligible for postpartum medical assistance for a sixty (60) day period beginning on the last day of her pregnancy and for any remaining days in the month in which the sixtieth (60th) day falls.

If the member’s primary insurance carrier denies maternity coverage, will the provider still have to file the primary each time for the denial and then file Magnolia for secondary? 

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