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C-section and vaginal delivery for twins

  1. #1
    Default C-section and vaginal delivery for twins
    Clearnace Sale
    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
    Greeley, Colorado
    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
    Bradenton, Fl
    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
    Greeley, Colorado
    Thanks Ang!
    Lisa Bledsoe, CPC, CPMA

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