Wiki Twins delivery

[lbeagle]

Twin A delivered by Dr A and four hours later Twin B delivered by Dr. B. This is a patient who we saw through the ED and not prenatally. I was thinking I would use 59409 with Twin A dx code an 59409 -59 with Twin B dx code ????

Any help appreciated

Thanks



















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[tracylc10]

I wonder if it would be more appropriate to use Modifier 77?

77 - Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professional: It may be necessary to indicate that a procedure or service was repeated by another Physician subsequent to the original procedure or service.


Not sure, just wondering.....

 

[smoore123]

The billing scenario you have given does align with ACOG's guidance, however I don't know if the different providers are being taken into consideration. You could submit a coding inquiry to them. The modifier 77 scenario mentioned above is interesting and I wonder if it would work? Sorry not much help but this is a quit unique situation. Are the billing providers of the same provider group?

 

[Bready]

I had a triplet delivery with three different doctors. Similar situation for billing. I used modifier 59 with appropriate dx codes for triplet and sent documentation supporting that each baby was delivered by different physician. We were paid by the insurance carrier.