Wiki billing for twin delivery via c-section or vaginal

[mvaldivia@ivfcmg.com]

what are the guidelines to bill for twin delivery either by C-section or vaginal delivery
I was told to use 59510 for first baby and 59515-59 second baby for cesarean delivery, but somehow this doesn't sound
good to me.

Help

Thank you

 

[CodingKing]

It may depend on the payer but my payers policy is global + a delivery only code. It would not be an additional delivery w/ postpartum as postpartum is for the mother not the baby.

 

[Anastasia]

You would code 59510 once because only one C-section was performed. If the procedure was difficult or extensive, you could add a modifier 22. This is per ACOG.

 

[beastman1]

Anastasia is correct for c-section delivery of twins. If you're referring to twins, one delivered vaginally and one delivered cesarean, assuming provider is billing for the global package: primary code would be 59510 and secondary code 59409. Depending on payer, modifier may be required for 59409.