2025 CPT code 59510

Routine obstetric care including antepartum care, cesarean delivery, and postpartum care.

For increased procedural services, use modifier 22. For low cervical cesarean section, see 59514, 59515, 59525. Do not report 59510 in conjunction with antepartum or postpartum care codes when provided as part of the global package.

Modifiers applicable to this code include: 22 (Increased Procedural Services), 33 (Preventive Services), 51 (Multiple Procedures), 52 (Reduced Services), 53 (Discontinued Procedure), and others as appropriate.

Medical necessity for a cesarean delivery is determined by various factors such as fetal distress, maternal health conditions, or other obstetric complications that make vaginal delivery unsafe.

The obstetrician is responsible for all aspects of care, including prenatal visits, monitoring the pregnancy, performing the cesarean delivery, managing postpartum recovery, and providing postnatal care.

In simple words: This procedure covers all the care related to pregnancy and childbirth by cesarean section, from prenatal visits, the delivery itself, and checkups after the baby is born.

This global service includes antepartum care, hospital admission for delivery, delivery of the fetus and placenta via abdominal incision, and inpatient/outpatient postpartum care.Services typically begin at 8-10 weeks gestation and include a full-term cesarean delivery at 39-40 weeks gestation and routine postpartum care (inpatient and outpatient) for up to six weeks following delivery.

Example 1: A pregnant woman at 39 weeks gestation experiences signs of fetal distress, necessitating an emergency cesarean delivery., A pregnant woman with a history of previous cesarean deliveries elects to have a repeat cesarean delivery at 39 weeks gestation., A pregnant woman develops pre-eclampsia at 37 weeks gestation, requiring a cesarean delivery for the safety of both mother and baby.

Documentation should include detailed antepartum records, operative report of the cesarean delivery, postpartum care notes, and any complications encountered.

  • Revenue Code: P1G - MAJOR PROCEDURE - OTHER
  • Global Days : Global Period: 90 days
  • Payment Status: Active
  • Modifier TC rule: No information available.
  • Specialties:Obstetrics and Gynecology
  • Place of Service:Inpatient Hospital
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