Wiki OB/GYN

[Gadomski1]

I am getting a denial from A managed care plan that there is a missing modifier for 59510. I cannot find anything on this. The patient did have a uterus rupture in DX Should I put modifier 22 and send the notes? Can you bill for the repair of rupture separately? Thanks is advance for your advice.

 

[csperoni]

For c-section codes, many carriers want U1, U2, U3 or U7, U8, U9 to indicate the number of weeks. Check your carrier's policy on this.
If there was a hysterorrhaphy (repair of ruptured uterus), you should bill for that separately with a code under the section of Repair Procedures for Maternity care and Delivery.