Effective September 1st 2017, Aetna will require a multiple birth ICD-10 diagnosis code in order to allow payment of more than one CPT vaginal delivery code.
Aetna will no longer allow modifier -59 to override mutually exclusive edits between global maternity codes (for example, 59400 with 59510), cesarean sections (for example, 59510 with 59514) or failed vaginal birth after cesarean delivery (for example, 59618 with 59620).
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