Why did the delivery take longer than usual? Was it vaginal or c-section? Did the physician work go above and beyond that of a normal delivery? I would just code the delivery. Some are easy and some are hard it all equals out in the end. You could have the mother that comes in and delivers 5 minutes after she arrives or you could have the mother that comes in and labors for 12 hours and pushes for 3 hours before she delivers but you still bill the delivery code only and get the same reimbursment.
If there was a complication that caused the physician to perform more than he/she would in a normal delivery make sure that is documented and you might be able to use the 22 modifier and send in the documentation. Without seeing the documentation and knowing I can not give you a definate answer. From what I can tell though I would only bill the delivery.
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