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https://revenuecycleadvisor.com/news-analysis/qa-cpt-coding-multiple-gestation
Jul 19, 2019 · 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.
https://www.aapc.com/discuss/threads/billing-for-twin-deliveries.1973/
Jan 26, 2008 · Another way to report vaginal delivery of twins would be to use the routine global ob care for the first baby and the delivery only code for the second baby (with modifier 51, if needed). Note: If both twins are delivered via cesarean delivery, then you would only report the c-section global care code since only one c-section is performed.
https://www.supercoder.com/my-ask-an-expert/topic/c-section-delivery-of-twins-how-to-bill-for-delivering-physician
Jun 07, 2012 · The ob-gyn delivers twins by cesarean. Although you may be tempted to report two codes for two c-sections, you would risk over-reporting your ob-gyn's work. Reality: When the doctor delivers all of the babies — whether twins, triplets, or more — by cesarean, you should submit 59510-22 (Increased procedural service).
https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_15592145
Cesarean (C-section) delivery only should be submitted with code 59514 or 59620. Only one delivery code should be billed regardless of the number of births during that delivery. Subsequent Vaginal Birth after C-section (VBAC) VBACs should be coded using CPT codes 59618, 59620, 59622
http://library.ahima.org/doc?oid=100639
If a delivery occurs during an admission and there is an “in childbirth” option for the obstetric complication being coded, the “in childbirth” code should be assigned. If the complication occurs after delivery, the “in puerperium” code should be assigned if available.
https://www.cmqcc.org/sites/default/files/Oh%20Baby%20OB%20Coding%20in%20ICD10-PCS%20v2.pdf
• Cesarean delivery • Vacuum extraction • Forceps extraction Extraction has multiple uses… Not just delivery of the infant! CaliforniaHIA.org • Breech extraction – With or without internal version DRG Alert! A delivery code from the OB section (10D/10E) must bemust be coded to generate an delivery …
https://providers.bcbsal.org/portal/documents/10226/306297/Obstetrics+Coding+and+Documentation+Reference+Guide/8f5f1b65-1fd2-49a5-8708-6819a162098e?version=1.0
Obstetrics Coding and Documentation Reference Guide CPT Coding CPT defines maternity-related services as: ... 59614 Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care 59618 Routine obstetric care including antepartum care, ...
http://www.medicalbillingcptmodifiers.com/2016/05/cpt-code-59425-59426-and-s5100-with.html
May 10, 2016 · 59622 Cesarean Section Only, Following Attempted Vaginal Delivery After Previous Cesarean Delivery (including postpartum care) Claims for Obstetric Deliveries to Require a Modifier Claims submitted for obstetric deliveries with procedure codes 59409, 59410, 59514, 59515, 59612, 59614, 59620, or 59622 will require one of the following modifiers:
https://www.emblemhealth.com/providers/claims-corner/coding/maternity-claims-multiple-birth-reimbursement
Payment is made for members, who deliver twins, triplets, quads, etc. for each vaginal delivery, or when the first baby is born vaginally and the subsequent babies are delivered via Cesarean section. If multiple births are via C-Section, only one procedure will be reimbursed (single or multiple births).
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