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1. • • Solution: You should report 59510 (Routine obstetric care including antepartum care, cesarean delivery, and postpartum care) for the second baby and 59409-51 for the first. -You-ll bill the cesarean first because of the higher RVUs [relative value units],- Stilley says.
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     Master Twin-Delivery Coding With This Modifier Know-How - AAPC

2. www.aapc.com · codes · coding-newslettersMaster Twin-Delivery Coding With This Modifier Know-How - AAPC

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   Apr 10, 2006 · When your ob-gyn delivers one baby vaginally and the other by cesarean, you should report two codes, but you-ll only report one code if your ob-gyn delivers both babies by cesarean. Find out which codes to report by reading these scenarios and discover the coding solutions. Ob-Gyn Delivers Both Twins Vaginally.

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   How is a CPT code selected for the delivery of twins?

   • A: When coding for the delivery of twins, CPT code selection is driven by the method of delivery. In other words, whether the patient underwent a vaginal or cesarean delivery (C-section). If a vaginal delivery is documented, the coder would report the appropriate CPT vaginal delivery code for the first-born baby. These include:

   Q&A: CPT coding for multiple gestation | Revenue Cycle Advisor

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   How should I report vaginal delivery of twins?

   • For vaginal delivery of twins, another method is to use the routine global ob care code for the first baby and the delivery only code for the second baby (with modifier 51, if necessary). Note: If both twins are delivered via cesarean delivery, then report the c-section global care code since only one cesarean delivery is performed.

   Billing for Twin Deliveries | Medical Billing and Coding Forum - AAPC

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   How many codes should I report if my OB-GYN delivers two babies?

   • When your ob-gyn delivers one baby vaginally and the other by cesarean, you should report two codes, but you-ll only report one code if your ob-gyn delivers both babies by cesarean. Find out which codes to report by reading these scenarios and discover the coding solutions. Ob-Gyn Delivers Both Twins Vaginally

   Master Twin-Delivery Coding With This Modifier Know-How | AAPC

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   What is the ICD 10 code for a twin born by cesarean?

   • For the second twin born by cesarean, use additional ICD-10 codes to explain why the ob-gyn had to perform the cesarean — for example, malpresentation (O32.9XX0, Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified) — and the outcome (such as, Z37.2). What Should I Do for All Cesarean Deliveries?

   Untangle Your Trickiest Twin Delivery Claims : Obstetrics - AAPC

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4. www.aapc.com · codes · coding-newslettersUntangle Your Trickiest Twin Delivery Claims : Obstetrics - AAPC

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   Dec 11, 2023 · You should include one of the following twin diagnoses (O30.0-, Twin pregnancy). Also, you should report the outcome of the delivery by assigning a Z37 code (eg. Z37.2, Twins, both liveborn).

5. www.aapc.com · discuss · threadsWiki Billing for Twin Deliveries - AAPC

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   Jan 23, 2008 · The preferred method of reporting a vaginal delivery of twins, when the global obstetrical care is provided by one physician is by appending modifier 22 to the routine obstetric care including antepartum care, delivery and postpartum care.

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7. revenuecycleadvisor.com · news-analysis · qa-cptQ&A: CPT coding for multiple gestation | Revenue Cycle Advisor

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   Jul 19, 2019 · Generally, if one twin is delivered vaginally and one twin is delivered through a C-section, report codes 59510 and 59409-51.

8. onlinemedicalcodingandbilling.com · coding-tipsCoding Tips For Twin Pregnancy ICD 10 And CPT Codes

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   Apr 5, 2023 · Here are some codes that may be relevant for twin pregnancy: 76801 – Ultrasound, pregnant uterus, real-time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), single or multiple gestation, each fetus.

9. www.outsourcemanagementgroup.com · medical-billing-blogProper Coding Procedures For A Twin Delivery - Outsource ...

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   Feb 20, 2007 · The code for twins or even more babies delivered during only one cesarean section will carry a code of 59510-22. You could even end up having a situation where the multiples are actually born on different days due to mother nature taking her course.

10. providers.bcbsal.org · portal · documentsObstetrics Coding and Documentaton Reference Guide - BCBSAL

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    Diagnosis Coding. For diagnosis coding, use ICD-10-CM code range of O00-O9A with sequencing priority over codes from other categories. Additional codes can be used from other categories in conjunction with maternity codes to further specify the condition(s).