Most Common OB GYN CPT Codes
Introduction
The medical billing and coding process is an essential aspect of healthcare administration that ensures accurate and efficient reimbursement for medical services provided. In the field of obstetrics and gynecology, healthcare professionals use specific Current Procedural Terminology (CPT) codes to bill for their services. These codes are standardized and universally recognized, making them essential for insurance billing and claims submission. In this article, we will discuss the most common OB GYN CPT codes and how they are categorized. Understanding these codes will help healthcare professionals optimize their billing processes and improve the quality of patient care.
Most Common OB GYN CPT Codes
Following is a list of most common OB GYN CPT codes. Note that CPT is a registered trademark of the American Medical Association (AMA). We shared following list only for provider reference purpose and haven’t provided complete code description.
- 59400: This code represents routine obstetric care including antepartum care, vaginal delivery, and postpartum care.
- 59409: This code represents vaginal delivery after a previous cesarean delivery.
- 59410: This code represents delivery by cesarean section, including antepartum and postpartum care.
- 59425: This code represents antepartum care only, with no delivery included.
- 59426: This code represents postpartum care only, with no delivery included.
- 59430: This code represents postpartum care following a vaginal delivery only.
- 59510: This code represents routine obstetric care including antepartum care, cesarean delivery, and postpartum care.
- 59514: This code represents cesarean delivery only, with antepartum and postpartum care included.
- 59515: This code represents postpartum care only following a cesarean delivery.
- 59610: This code represents routine obstetric care including antepartum care, vaginal delivery, and postpartum care for a patient with a singleton pregnancy.
- 59612: This code represents routine obstetric care including antepartum care, vaginal delivery, and postpartum care for a patient with multiple gestations (twins, triplets, etc.).
- 59614: This code represents delivery by cesarean section, including antepartum and postpartum care, for a patient with a singleton pregnancy.
- 59618: This code represents delivery by cesarean section, including antepartum and postpartum care, for a patient with multiple gestations (twins, triplets, etc.).
- 59620: This code represents antepartum care only, with no delivery included, for a patient with a singleton pregnancy.
- 59622: This code represents antepartum care only, with no delivery included, for a patient with multiple gestations (twins, triplets, etc.).
OB GYN CPT Code Categories
OB GYN CPT codes are categorised as:
- Obstetric care codes: These codes are used to bill for prenatal care, delivery, and postpartum care.
- Diagnostic ultrasound codes: These codes are used to bill for various types of ultrasound examinations performed during pregnancy, including transabdominal, transvaginal, and fetal biophysical profiles.
- Gynecologic surgical procedure codes: These codes are used to bill for surgical procedures performed on the female reproductive system, including hysteroscopy, laparoscopy, and hysterectomy.
- Contraceptive management codes: These codes are used to bill for services related to contraceptive management, including counseling, insertion and removal of contraceptive devices, and management of side effects.
- Diagnostic and therapeutic procedure codes: These codes are used to bill for diagnostic and therapeutic procedures related to the female reproductive system, such as colposcopy, endometrial biopsy, and dilation and curettage (D&C).
- Codes for management of menstrual disorders: These codes are used to bill for services related to the diagnosis and management of menstrual disorders, including abnormal uterine bleeding and menstrual cramps.
- Codes for management of menopausal and postmenopausal disorders: These codes are used to bill for services related to the diagnosis and management of menopausal and postmenopausal disorders, including hormone replacement therapy.
- Codes for management of infertility: These codes are used to bill for services related to the diagnosis and management of infertility, including ovulation induction, artificial insemination, and in vitro fertilization (IVF).
It’s worth noting that some codes may fall into multiple categories depending on the services provided. It’s important to choose the appropriate code(s) based on the specific services provided to ensure accurate billing and reimbursement.
We shared list of most common OB GYN CPT codes for provider reference purpose. You are advised to connect with payer or medical billing company for appropriate use of these procedure codes. Legion Healthcare Solutions is a leading medical billing company providing complete billing and coding services. Our expert OB GYN coders can assist you in appropriately using procedure codes and can ensure accurate insurance reimbursements. As a leading medical billing company, our team is well versed with latest billing guidelines and reimbursement policies. To know more about OB GYN billing and coding services, contact us at 727-475-1834 or email us at info@legionhealthcaresolutions.com