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Wiki 59 or 78?

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The doctor performed a 59410 obstetrical delivery followed by a 59160 later the same day. Would you use a modifier 59 or 78 on the second procedure?
 
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Why was the curretage done? Was it planned for this patient? It actually may be a 58 modifier if it was not done for complications. I need more information.

Barbara J. Cobuzzi, CPC, CPC-H, CPC-P, CENTC
 
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