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C-section and vaginal delivery for twins

  1. #1
    Default C-section and vaginal delivery for twins
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    How do I code a delivery for one twin vaginally and then because of complications, the other twin had to be delivered cesarean?
    adrianne, cpc

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Question
    I have the same situation and I was going to code 59510 and 59409-59...but I'm not sure that is correct.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Lisa you are correct!

    "It is challenging to code one twin as a vaginal delivery and the other as a cesarean delivery. In this case, code 59510 is used for routine obstetric care, including postpartum care, for the cesarean delivery and code 59409 is used for the vaginal delivery."

    Hope this helps!
    Angie Olson, CPC

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Thanks Ang!
    Lisa Bledsoe, CPC, CPMA

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