Ob-Gyn Coding Alert
Make Sure You Submit Medicare Forms with Modifier 22
Question: What modifier should we submit to Medicare for increased procedural services? As per the Society for Maternal-Fetal Medicine (SMFM), when billing twins for cesarean, we should use 59514-22. Is there another way to bill this and get compensated for it?
Answer: Medicare will pay with modifier 22 (Increased procedural services), which is the only correct way to bill for a twin cesarean delivery (per both CPT® and the American Congress of Obstetricians and Gynecologists [ACOG]). But make sure you have filled out the modifier 22 form that most Medicare carriers are using and meet all of their documentation requirements. Otherwise, you won’t get paid anything additional.
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Ob-Gyn Coding Alert
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