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Assisted Cesarean delivery

  1. #1
    Somers Point New Jersey
    Smile Assisted Cesarean delivery
    Medical Coding Books
    Hi Friends,

    Hope you help me with this !

    Our Ob/Gyn Physician has assisted Cesarean delivery . We have coded 59514 with 80 modifier.
    Medicare has denied the claim stating payment adjusted when performed by provider of this speciality
    When we spoke to insurance agent they have asked us to change the modifier & resubmit.
    What we should do in this case ?

    Anuja. A. Devasthali, CPC-A.

  2. #2
    Seacoast- Dover New Hampshire
    I would use the 59514 as this is c section only. I give the prime MD 59515.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. Default
    Try 59514-82 as the mod.
    Hope this helps
    good luck

  4. Default
    Medicare likes modifier -82 for the assist in some cases.

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