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vag delivery of twins @ 22wks need help coding

  1. #1
    Default vag delivery of twins @ 22wks need help coding
    Medical Coding Books
    Hello everyone,
    I need to get coding assistance on this case:

    We have a patient that vaginally delivered twins at 22 weeks and both twins were alive at birth and then both passed after a few minutes. This patient only had 5 prenatal visits would this be coded as a global?

    Could we split the bill and is the delivery charges Vag delivery only (59409) and then 59409-59 for twin B?

    Please if anyone could help.

  2. Default
    Based on my past experience, the billing of the antepartum care depends on the payor. Some payors want separate E/M visits then the delivery charge(s).
    Probably contact the payor.

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