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https://www.aapc.com/discuss/threads/laceration-repairs-from-delivery.144150/
Feb 14, 2017 · When a delivery results in laceration repairs of the 3rd or 4th degree, should those be billed using laceration repair cpt codes or using the 22 modifier on the delivery code to explain the extenuating circumstances? Also, what are your sources/links to support this answer as well?
https://www.supercoder.com/my-ask-an-expert/topic/4th-degree-laceration-with-delivery
Jul 21, 2016 · Repairs of lacerations after birth are generally considered part of the delivery service, but sometimes a case can be made to bill for the repair if it is at least a …
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · CPT considers the repair of a first- or second-degree spontaneous vaginal or perineal laceration an inherent part of the delivery code and not to be separately reported. A third- or fourth-degree laceration or a cervix laceration repair can be considered separately identifiable and reported separate from the global delivery code.
https://www.supercoder.com/my-ask-an-expert/topic/3rd4th-degree-laceration-repair-documentation
Sep 25, 2013 · Therefore, if the repair of the laceration was extensive, you can add modifier -22 (unusual procedural services) to the delivery or global code, or you can bill for it separately using the complex repair codes 13131-13133 (but the length of the wound repaired must be known). These are the closest codes that describe such a repair of the genitalia.
https://www.mdedge.com/obgyn/article/61390/practice-management/postdelivery-laceration-repair-blood-evacuation
If the laceration repair was done at the time of delivery, add modifier -51 (multiple procedure) to the repair code; if the patient was brought back to the operating room for the procedure, use modifier -78 (return to operating room for a related procedure during the postoperative period).
https://www.healthline.com/health/pregnancy/treatment-vaginal-cervical-lacerations
mothers who had a long delivery; ... A third-degree laceration is a tear that extends through vaginal tissue, perineal skin, and perineal muscles that extend into the muscles around your anus ...Author: Rachel Nall, MSN, CRNA
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=4
Oct 11, 2019 · Previous Next 4 of 6 3rd-degree vaginal tear. Third-degree tears extend into the muscle that surrounds the anus (anal sphincter). These tears sometimes require repair with anesthesia in an operating room — rather than the delivery room — and might take longer than a few weeks to heal.
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