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Wiki Complicated Delivery

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linda s

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The CPT guidelines state that delivery services include management of uncomplicated labor and delivery. Can anyone tell me what may be considered a "complicated" delivery and when it would be appropriate to use the modifier -22 to the delivery charge?
Thank you.
 
Some senarios I have come across that would be appropriate to use 22 modifier with complicated delivery are...

Repair of thrid and fourth degree lacerations. (You append -22 to delivery code)

Manual extracition of placenta

Twin c-section delivery Report 59510 with -22 modifier.

Be sure to include a letter to your payer with claims that you are billing the -22 modifier explaining the additional work and why an increased payment is deserved.
 
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