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Twin delivery

  1. #1
    Question Twin delivery
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    Can anyone help me with how to bill for the delivery of twins. Can you bill the 59400 twice with the second charge with a modifier 52. I am new at billing OB/GYN and helping clean up an office that has been billing incorrectly for everything. Please help!!!

  2. #2
    Greeley, Colorado
    For a vaginal twin delivery you would code 59400 (global) and 59409-59 (delivery only). Some say to use -51 but we use -59 (because you have a separately identifiable newborn - it is a distinctly different delivery). I'd be happy to help you with questions you might have. I had to straighten some things out here because they were without a coder for 2 years prior to me AND - the docs do ALL of their own coding...
    mu email is
    Last edited by Lisa Bledsoe; 12-09-2010 at 01:46 PM. Reason: added email address
    Lisa Bledsoe, CPC, CPMA

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