Obstetrics:
Deliver Your Delivery Coding From Claim Mishaps With This Expert Advice
Published on Sat Apr 21, 2012
Know what to do when ob-gyn performs c-section for twins. Coding deliveries isn't as easy as simply reporting a global code. Sometimes extenuating circumstances require you to choose from itemized delivery codes -- and use modifiers like 51, 59 and 22. Read the following four scenarios and see if your answers match up with our experts' guidance. Scenario 1: Your Ob-Gyn Delivers for Unaffiliated Ob-Gyn A pregnant patient's regular ob-gyn is out of town when the patient goes into labor. Your ob-gyn, who is not affiliated with the regular ob-gyn, performs a normal delivery. How should you report this? Answer: You should report the delivery according to how your ob-gyn performed it -- either vaginal (59409, Vaginal delivery only [with or without episiotomy and/or forceps]) or cesarean (59514, Cesarean delivery only). As for diagnoses, you should use 650 (Normal delivery) and V27.0 (Single liveborn). ICD- 10: When your diagnosis coding system changes [...]