ACOG states that for a patient that delivered at home you can either append a modifier 52 or you can bill the antepartum care, delivery of placenta (if performed), episiotomy repair if appropriate, and the postpartum care. I have also read other places that you can add a mod 52 if the nurse delivers because it is not a billable service for the nurse. A really great book that I have recently discovered is "Frequently Asked Questions in Obstetric and Gynecologic Coding" by ACOG. This is where I got the first answer. Hope this helps!
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