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ob pt w double uterus

  1. #1
    Default ob pt w double uterus
    Medical Coding Books
    Good Afternoon,
    I am in need of help with a tricky delivery situation. OB patient with double uterus is pregnant with twins - one in each uterus. Twin A is born via vaginal delivery one day (late late at night) and Twin B is born via C-section next day. If these deliveries had occurred on the same date, I know how to bill this out.
    It is the two different dates of service that is confusing me. I am inclined to bill nsvd and c sect only (each with their respective dos). We will submit on paper and attach a letter. Does anyone think I need a modifier or a better way to do this?
    Thank you all so much

  2. #2
    I'm thinking you'll want a may want some guidance from your payer as to how they want it billed to give you the best chance.


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