Wiki Triplet Preg w/Vaginal delivery One at 22wks

[amjordan]

Ok, I need some opinions on this one. We have a triplet pregnancy and the mother delivered one at 22+ weeks that was a live birth. She has retained the other to fetuses hoping to carry to term.

My initial thought was to bill the delivery only code. What do you all think?

 

[Anna Weaver]

vaginal delivery

WoW! I've never heard of that!! Interesting scenario. First I thought, do the global delivery, but then the patient is still pregnant and you wouldn't receive payment for the rest of the pregnancy and have trouble with the other 2 deliveries.
So, I think I agree with you, delivery only for this one and then code global when she delivers again with second delivery. You will probably have to submit documentation. (Only a guess, but I would certainly question this one)!!!
Thanks for posting this!

 

[mmunoz21]

I had similar scenario happen in FLorida the mom had Twins. I billed delivery only, and when the second baby was delivered I sent the documentation from the first delivery in order to avoid the denials.....