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Wiki Twin Delivery and CIGNA

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amydenn07

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Cigna just recently began denying our twin vaginal deliveries as "bundled".
We are billing 59400 and 59409-59 as we always have done. 1st level appeal denied. HELP please!
 
Cigna issue

amydenn07 said:
Cigna just recently began denying our twin vaginal deliveries as "bundled".
We are billing 59400 and 59409-59 as we always have done. 1st level appeal denied. HELP please!
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We just rec'd information from Cigna today stating that if a cpt code has a modifer of '25' or '59' -support documentation will have to be attached. Since we send claims electronically, we were informed that we could fax documentation. Hope this helps...:)
 
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