pollyhouchins@gmail.com
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Hello,
I have a situation where our provider delivered twins, first twin delivered vaginally and the 2nd twin delivered by C-section. We billed it with 59510 for the C-section and 59409-51. Only the 59510 code paid, and code 59409-51 denied as inclusive to primary procedure/global etc. We also sent a corrected claim with modifier 59 on code 59409 and it still denied. I have googled and found an article by Revenue Cycle Advisor and it does state to bill the claim with these codes and modifier 51 on 59409. Insurance is BCBS of Florida. Appeals have denied as well. does anyone have advice on how to bill this scenario?
Thank you,
Polly H
I have a situation where our provider delivered twins, first twin delivered vaginally and the 2nd twin delivered by C-section. We billed it with 59510 for the C-section and 59409-51. Only the 59510 code paid, and code 59409-51 denied as inclusive to primary procedure/global etc. We also sent a corrected claim with modifier 59 on code 59409 and it still denied. I have googled and found an article by Revenue Cycle Advisor and it does state to bill the claim with these codes and modifier 51 on 59409. Insurance is BCBS of Florida. Appeals have denied as well. does anyone have advice on how to bill this scenario?
Thank you,
Polly H