Whether the patient delivered by c-section, twins, trips, quads, etc, you will only be able to bill 59510 one time. Make sure you use the correct ICD-9-CM code for triplets. Keep in mind that you may be able to add a 22 modifier to the 59510 if the c-section was very difficult (must be documented) and/or if she had more than 13 pre-natal visits. Make sure you have the documentation to back the 22 modifier, and if you use it, write a letter to the insurance regarding why the 22 modifier is warranted. Good Luck!
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