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Ob-Gyn Coding Alert

You Be the Coder:
Determine if Uterine Replacement Happened Before or After Delivery

Question: The patient delivered vaginally (59400) and then had a complication, which required a uterine replacement with the assistance of a Bakri intrauterine balloon. How would I code this? Kentucky Subscriber Answer: If the physician performed this procedure before she went to recovery, add a modifier 22 (Increased procedural service) to 59400 (Routine obstetric care including antepartum care, vaginal delivery [...]


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