2025 CPT code 59515
(Active) Effective Date: N/A Cesarean Delivery Procedures - Surgical Procedures for Maternity Care and Delivery Surgery Feed
Cesarean delivery only; including postpartum care.
Modifiers may be applicable in certain situations.For example, modifier 22 is used to indicate increased procedural services.
Medical necessity for a cesarean delivery is determined by various factors that threaten the health of the mother or baby, making vaginal delivery unsafe. Examples include fetal distress, cephalopelvic disproportion, placenta previa, and previous C-section.
The physician is responsible for the entire process of the cesarean delivery, from admission to the hospital through post-operative care, including managing complications and providing patient education.
In simple words: This procedure covers a cesarean delivery (C-section) and all the care you'll need afterward, both in the hospital and at home for several weeks.It includes the surgery itself, plus check-ups to make sure you and your baby are healthy.
This global service includes admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.Typical postpartum care ends after one or more outpatient visits up to six weeks following delivery.
Example 1: A pregnant woman at 39 weeks gestation experiences a sudden drop in fetal heart rate. After attempting vaginal delivery unsuccessfully, a cesarean delivery is performed., A pregnant woman with a history of previous cesarean delivery elects to have a repeat C-section at 39 weeks gestation., A pregnant woman at 41 weeks gestation is overdue and has not progressed into labor. After discussion of risks and benefits, a cesarean delivery is planned and performed.
Documentation should include the medical necessity for the C-section, details of the surgical procedure, anesthesia records, postpartum care notes (both inpatient and outpatient), and any complications encountered.
** This code represents a comprehensive package of services related to a cesarean delivery.It's important to document all aspects of care thoroughly for accurate coding and billing.
- Revenue Code: P1G - Major Procedure - Other
- Global Days : Global period includes 90 days of routine postpartum care.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital