Wiki Delivery and Unplanned Procedure mod-78 (D&C)

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Pearland, TX
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My doctor is an OB/Gyn and she just used a modifier 78 for a Vaginal delivery that later had a retained placenta of which she had to do a D & C. So she billed 59400 along with 59160-78. Cigna paid the delivery and denied the D&C as incidental to the primary procedure. Is there any way this could have been covered??

Any suggestions?

Thank you
 
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