Wiki Twin delivery-When our

Insurance Rep II

59400 with 59409-51 If both are delivered vaginally
59610 with 59612-51 If both are delivered vaginally & patient had previous C-section

Some carriers prefer modifier 59 instead of 51
 
Those are global codes given, if this patient isn't in the global care it should be 59410 and 59409-51, and 59614 and 59612-51. Remember 59410 & 59614 include PP visits, so bill accordingly if they aren't to be seen for PP visits.
 
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