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Thread: First Set Of Triplets

  1. #1

    Default First Set Of Triplets

    AAPC: Back to School
    Need some help in billing our first set of triplets. Of course they were delivered by C-Section. Help with both CPT and ICD-9, dont' want to get this wrong. Global C-section 59510. I just want to make sure I place my modifiers correct also.

    Thanks so much for the help from all!


  2. #2
    Join Date
    Apr 2007

    Default Billing Triplets

    Hi Julie,
    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!
    Becky Tucker

  3. #3
    Join Date
    Apr 2007


    I would bill 59510 also with v27.5 for multiple live births
    not sure about 22 mod as he had to be there anyway. Depends on circumstance.

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