Julie Posted 5 Year(s) ago
Provider delivered newborn (59400), but there was a retained placenta. Patient was taken to the OR for manual removal of the placenta (59414). Can this be billed with the delivery or would a 22 modifier be appropriate?
thanks much, Donna
SuperCoder Posted 5 Year(s) ago
If you are reporting the delivery (for example, 59400, Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps] and postpartum care), you cannot bill separately for removing the placenta (59414, Delivery of placenta [separate procedure]). On the other hand, if the physician's documentation clearly shows significant additional work, you can add modifier -22 (Unusual procedural services) to the delivery code.
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