Wiki Tubal Ligation done at the time of a vaginal delivery

[houmaob1714]

For a tubal ligation done at the time of a vaginal delivery, should there be a modifier (51 or 59) on the tubal code and should the insurance reduce the payment on the tubal code with "multiple procedure reduction"?

59400 (primary procedure)
58605

 

[tracylc10]

I'm not sure, but I think a modifier 51 would work. The insurance may reduce the payment since the delivery is being charged as well.