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Ob-Gyn Coding Alert

Ace Your Twin Delivery Claims With 4 Solutions to Your Toughest Questions

Published on Mon Nov 21, 2011

Experts advise you to follow whatever modifier rules your insurer has in writing Hype around celebrity twins has many coders wanting to know how to report a twin cesarean delivery. The answer: 59510 with modifier 22 attached. But that may not always be the case. You-ll need to adjust your twin delivery reporting depending on an insurance company's preference. Tackle these four tricky twin delivery questions and check with your contracts. You-ll be submitting picture perfect claims in no time. 1. How Should I Report Twin Delivery? If a patient is having twins, most ob-gyns first attempt a vaginal delivery as long as the physician hasn't identified any complications. In this case, you should report 59400 (Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy and/or forceps] and postpartum care) for the first baby and 59409-51 (Vaginal delivery only [with or without episiotomy and/or forceps]; multiple procedures) [...]
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