Code Maternity And Delivery Services - Certified Professional Coder CPC

1. What CPT code reports cesarean delivery only (with postpartum care) when antepartum is not included?

   59515. This code covers cesarean delivery and postpartum care when antepartum services are provided separately.

2. What CPT code reports VBAC delivery only (delivery care only), without postpartum care?

   59612. This code covers the VBAC delivery procedure solely, without postpartum care.

3. What CPT code reports antepartum care only with $7$ or more visits?

   59426. This code is for extensive antepartum care visits when delivery is coded separately.

4. Which CPT code reports colposcopy of cervix including upper/adjacent vagina with biopsy?

   57454. This code includes magnified examination of the cervix and vagina with tissue sampling for pathology.

5. Which coding approach is correct when different providers perform antepartum care and delivery?

   Report only the services each provider performed. Split billing ensures accurate reimbursement by coding each provider's contributions to maternity care individually.

6. What CPT code reports vaginal delivery only (with postpartum care) when antepartum is not included?

   59410. This code is used when the same provider handles only the vaginal delivery and subsequent postpartum care, excluding antepartum.

7. What CPT code reports vaginal delivery only (including delivery care only), without postpartum care?

   59409. This code is for vaginal delivery services alone, without including postpartum care components.

8. Which CPT code reports a hysterosalpingography radiologic procedure (supervision and interpretation)?

   74740. This radiology code is for overseeing and interpreting imaging to assess fallopian tube patency and uterine cavity.

9. Which CPT code reports endometrial biopsy without cervical dilation (sampling only)?

   58100. This code reports obtaining endometrial tissue for analysis without requiring cervical dilation.

10. Which CPT code reports episiotomy or vaginal repair by the delivering physician (when separately reportable)?

    Not separately reportable; included in delivery. Routine episiotomy and vaginal repairs by the delivering physician are bundled into the primary delivery code.

11. What is included in global obstetric care (package) when coded as a single CPT service?

    Antepartum, delivery, and postpartum care. Global obstetric care bundles routine antepartum visits, delivery management, and postpartum follow-up into a single code for uncomplicated pregnancies.

12. What CPT code reports postpartum care only following delivery (separate from delivery code)?

    59430. This code is used for standalone postpartum care when billed separately from delivery services.

13. What CPT code reports routine obstetric care including antepartum, VBAC delivery, and postpartum?

    59610. This global code applies specifically to vaginal birth after prior cesarean, including full maternity care spectrum.

14. What CPT code reports routine obstetric care including antepartum, cesarean delivery, and postpartum?

    59510. This global code is assigned for cesarean delivery cases with associated antepartum and postpartum care by the same provider.

15. What CPT code reports antepartum care only with $4$–$6$ visits?

    59425. This code accounts for limited antepartum visits when not part of a global package, based on visit count.

16. What CPT code reports VBAC delivery only (with postpartum care) when antepartum is not included?

    59614. This code reports VBAC delivery and postpartum care only, when antepartum is handled elsewhere.

17. Identify the correct CPT code for dilation and curettage (D&C) for nonobstetric diagnostic or therapeutic purposes.

    58120. This code is for uterine scraping procedures outside of obstetric contexts for diagnostic or therapeutic needs.

18. What CPT code reports routine obstetric care including antepartum, vaginal delivery, and postpartum?

    59400. This global code covers standard care for vaginal delivery when provided by the same physician throughout pregnancy and recovery.

19. Which CPT code reports external cephalic version with or without tocolysis?

    59412. This code is for the procedure to manually rotate a breech fetus externally, often to facilitate vaginal delivery.

20. What CPT code reports cesarean delivery only, without postpartum care?

    59514. This code is assigned for the cesarean delivery procedure only, excluding postpartum services.

21. What CPT code range reports maternity care and delivery management services?

    CPT 59400–59622. This range includes codes for comprehensive maternity care, encompassing antepartum, delivery, and postpartum services in global packages.

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