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Thread: Twin C/Sec Ass Surg

  1. #1

    Default Twin C/Sec Ass Surg

    AAPC: Back to School
    Hey Everyone,

    Can someone please help with this:

    Dr. Assisted during c/sec. Twin delivery
    I billed
    59514-82 DX Codes: 654.20 v27.2
    59414-82-22 DX Codes: 654.20 v27.2

    We were paid for 59514/82 and NOT on 59514-82-22 Saying that services are included into primary Procedure.
    I was Wondering if anyone knows if thats realy true or not????


  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Modifier -22 is only to be reported on the primary procedure and not for an assistant. Are you a teaching facility? Is that why you are using -82?

    We code our assists 59514-80 only when reporting the primary surgeon 59510-22; if coding primary 59510 and 59514-51. then we code 59514-80, 59514-80-51...but find that no one pays for the 59514-80-51, as it is considered bundled.
    Last edited by Lisa Bledsoe; 10-28-2009 at 02:38 PM.
    Lisa Bledsoe, CPC, CPMA

  3. #3


    We code 59514-80 for the assistant surgeon. It doesn't matter how many babies were delivered when you are talking about the assistant surgeon. I agree with Lisa, -22 on the primary as well.

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