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Complicated Delivery

  1. #1
    Question Complicated Delivery
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    The CPT guidelines state that delivery services include management of uncomplicated labor and delivery. Can anyone tell me what may be considered a "complicated" delivery and when it would be appropriate to use the modifier -22 to the delivery charge?
    Thank you.

  2. #2
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    Some senarios I have come across that would be appropriate to use 22 modifier with complicated delivery are...

    Repair of thrid and fourth degree lacerations. (You append -22 to delivery code)

    Manual extracition of placenta

    Twin c-section delivery Report 59510 with -22 modifier.

    Be sure to include a letter to your payer with claims that you are billing the -22 modifier explaining the additional work and why an increased payment is deserved.
    Christina Lee Wagner, CPC, CPC-H

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