A: once coding because that the distribution of twins, CPT code selection is driven by the technique of delivery. In various other words, even if it is the patience underwent a quality or cesarean delivery (C-section).

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If a vaginal delivery is documented, the coder would report the appropriate CPT vaginal shipment code because that the first-born baby. This include:

59400, regime obstetric care including antepartum care, quality delivery and postpartum care59409, vaginal distribution only59410, vaginal delivery only; including postpartum care59610, regimen obstetric treatment including antepartum care, vaginal delivery and postpartum care, ~ previous cesarean delivery59612, vaginal delivery only, after previous cesarean delivery59614, vaginal delivery only, after previous cesarean delivery; including postpartum care

The coder would certainly report second vaginal delivery-only code for the second-born baby, climate delineate in between the password by labelling them pair A or twin B. The coder should likewise append comprehensive -51 (multiple procedures) or -59 (distinct procedural service) come the password for the succeeding delivery.

If a C-section is documented, the coder would select the suitable CPT cesarean distribution codes, including:

59510, routine obstetric treatment including antepartum care, cesarean delivery, and postpartum care59514, cesarean distribution only59515, cesarean delivery only; including postpartum care59618, regime obstetric treatment including antepartum care, cesarean delivery, and also postpartum care, complying with attempted vaginal distribution after previous cesarean delivery59620, cesarean shipment only, complying with attempted vaginal distribution after ahead cesarean delivery59622, cesarean delivery only, adhering to attempted vaginal delivery after previous cesarean delivery; consisting of postpartum care

The coder would follow the very same rules described above for reporting the shipment of multiple newborns. Notably, some insurance carriers will certainly request the the hospital charge a an international cesarean password for the pregnant and add a comprehensive -22 (increased procedural service) for the additional work connected with the delivery of twins. Coders and billers should determine which an approach their transport prefers.

Generally, if one twin is ceded vaginally and one twin is delivered through a C-section, report codes 59510 and also 59409-51.

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Editor’s note: Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, ICD-10-CM/PCS ambassador/trainer and an E/M, and also procedure-based coding, compliance, data fee entry and HIPAA privacy specialist in Melba, Idaho answer this question throughout the HCPro webinar, Master Coding because that Pregnancy, Delivery, and also the Puerperium. She have the right to be got to at webbservices.lori
gmail.com
 or http://lori-lynnescodingcoachblog.blogspot.com/

This answer was provided based on restricted information. Be certain to evaluation all documentation specific to your very own individual scenario before determining ideal code assignment.

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