If the Antepartum and delivery were done but not the postpartum care then do you have to code the antepartum and delivery out separately? Do you end up waiting the 6 week postpartum period to bill out the antepartum and delivery then in order to know whether to code and bill with the group code of either 59400 or 59510 (depending on delivery type) or to code and bill it out separately without the postpartum care? Thank you!!
There is not a comprehensive CPT code that describes antepartum care including delivery. Therefore, when antepartum care and delivery are performed, the provider must bill the appropriate antepartum code in addition to the appropriate delivery code.
• <3 antepartum visits are performed – bill appropriate E/M codes for the visits
• 4-6 antepartum visits – Bill 59425
• 7-14 antepartum visits – Bill 59426
Vaginal delivery only – bill 59409
• C-section delivery only – bill 59514
• VBAC delivery only – bill 59612
• C-section after attempted VBAC delivery only – bill 59620
You do not have to wait 6 weeks to bill above.