Wiki Billing for multiple births

[gmlittle]

Looking for other Coders thoughts on billing Vaginal delivery of twins with the following procedures and modifiers:

Twin A-- 59400
Twin B-- 59409-52,59

Thanks in advance
Gina, CPC, CEMC

 

[rremington]

Coding Twins

Vaginal Birth no complications no modifiers straight

59400, 59409

 

[Lisa Bledsoe]

I believe ACOG suggests the following:
Vaginal Baby A 59400; baby B 59409-59
My opinion: don't use -52 as there is a complete delivery only for baby B.