Results 1 to 3 of 3


  1. Default Twins
    New Call-to-action
    Need a little help on this;

    Twins, baby "A: born vaginally, baby "B" malpositioned and C-section.

    DX = 652.61 Malposition
    651.01 Vaginal delivery
    669.71 C-Section
    V27.2 Outcome of delivery

    CPT codes 59409 Vaginal (delivery only)
    59510 C-section (global)
    58611 Bilateral tubal ligation done at same time of C-section

    Am I even close on this one ? - Any help is greatly appreciated !

  2. #2
    Greeley, Colorado
    Thumbs up
    Looks pretty close to me. I don't think you need 669.71 since the 652.61 indicates the reason for the c/s. I would code:
    59510 652.61, V27.2
    59409-59 651.01, V27.2
    58611 V25.2
    Last edited by Lisa Bledsoe; 12-01-2010 at 02:25 PM. Reason: added tubal coding
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Smile Twin - Delivery Codes Answer

    Your CPT codes are correct, but I would suggest coding it this way. I am a OB/GYN coder and am thinking about reimbursement also when I give these suggestions.

    CPT code 59510 (C/S global) Dx code : 1st 651.01, 2nd 652.61 (Read the op report to see if you can get addtional details about what type of malpresentation, and you can then code it as ie: breech or compound presentation) I would not use the 669.71 this code is normally used for a C/S without information as to why it was done or if it was a patient choice C/S. The indication is mentioned by the malpresentation, so this code would not be appropriate. Per ACOG it is appropriate to use the C/S as the "global" OB code due to higher reimbursement rates when delivery is involving both a vag delivery and C/S of twins.

    CPT code 59409-51 (Vag delivery) Dx code : 1st 651.01, and you need to read the Labor & delivery report from the hospital to see if any other codes would be appropriate also to code : ie: lacerations or fetal distress. You need to put the 51 modifier on the vag delivery code, since multiple procedures.

    CPT code 58611 is for the tubal during C/S. This is an add on code and needs no modifier. List this code last due to the low RVU's for reimbursement. Dx code : V25.2

    I hope this helps, if you need any additional help in the future please contact me at, I'd be happy to help with any OB/GYN coding you need help with.


Similar Threads

  1. Twins
    By KAFoust in forum OB/GYN
    Replies: 2
    Last Post: 04-04-2012, 09:17 AM
  2. Discordant Twins
    By Yonekab in forum OB/GYN
    Replies: 1
    Last Post: 12-05-2011, 09:39 AM
  3. twins,different days/MD
    By Karen A. in forum OB/GYN
    Replies: 2
    Last Post: 12-03-2011, 09:35 PM
  4. twins
    By efuhrmann in forum OB/GYN
    Replies: 1
    Last Post: 01-28-2011, 06:37 PM
  5. Missed ab, twins
    By Yonekab in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-09-2010, 06:53 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.