Results 1 to 4 of 4

Billing for Twin Deliveries

  1. #1
    Question Billing for Twin Deliveries
    Medical Coding Books
    When billing for the delivery of twins via the same method for twin "a" and "b" how do you bill for twin "b". Can you and is there a modifer that you should use?

  2. #2
    Greeley, Colorado
    Vaginal delivery for twin A is the global 59400. Twin B is vaginal delivery only 59409 with modifier -51. Same for C/S - 59510 for A and 59514 -51 for B.

  3. #3
    Per example from CPT Assistant

    The preferred method of reporting a vaginal delivery of twins, when the global obstetrical care is provided by one physician is by appending modifier 22 to the routine obstetric care including antepartum care, delivery and postpartum care.

    Another way to report vaginal delivery of twins would be to use the routine global ob care for the first baby and the delivery only code for the second baby (with modifier 51, if needed).

    Note: If both twins are delivered via cesarean delivery, then you would only report the c-section global care code since only one c-section is performed. However, if the c-section delivery is significanbtly more difficult, you might have an opportunity to add modifier 22. ***According to ACOG, to add modifier 22 if delivery is significantly more difficult as compared to a single gestation pregnancy.***

    One Vaginal and one cesarean 59510 or 59618 for twin B and 59409-59 or 59612-59 for twin A. This communicates that both a cesarean and a vaginal birth were both performed.
    Christina Lee Wagner, CPC, CPC-H

  4. #4
    Kansas City, MO
    In addition, each insurance company has a slightly different way they want multiple deliveries billed. You can find the information in their policies. I took our top 6 payers and put their multiple delivery policies in a simple one sheet table that the coders keep at their desk.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

Similar Threads

  1. twin vaginal deliveries different days
    By in forum OB/GYN
    Replies: 1
    Last Post: 02-11-2014, 03:09 PM
  2. IL medicaid billing for twin delivery
    By nishwitzp in forum OB/GYN
    Replies: 1
    Last Post: 03-01-2013, 02:00 PM
  3. Multiple phys OB and billing deliveries
    By aalsabrook in forum OB/GYN
    Replies: 3
    Last Post: 06-14-2012, 02:49 PM
  4. Code for twin deliveries, I'm desperate...
    By com107 in forum OB/GYN
    Replies: 4
    Last Post: 02-22-2012, 12:18 PM
  5. Replies: 2
    Last Post: 07-08-2010, 07:32 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.