2025 CPT code 59610

Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery.

Use this code for patients with a previous C-section who have a successful vaginal delivery. For unsuccessful VBACs resulting in a repeat C-section, use codes 59618-59622. Do not report separately any services typically included in routine obstetric care when billing with this code. Modifier 52 can be appended if a portion of the global package is not provided.

Modifiers such as 22 (Increased Procedural Services) and 52 (Reduced Services) may be applicable in certain situations.

Medical necessity for this code is established by the patient's pregnancy and the decision, in consultation with the physician, to attempt a vaginal delivery after a previous cesarean.

In simple words: This code covers all the care you receive for a vaginal birth after having a C-section before. It includes checkups during pregnancy, the delivery itself, and care after the baby is born.

This code represents the comprehensive management of a pregnancy and vaginal delivery in a patient who has had a prior cesarean delivery. It includes all antepartum (before birth) care, the vaginal delivery itself (including use of forceps or episiotomy if necessary), and postpartum (after birth) care.This is a global code, meaning it encompasses multiple services bundled into one.

Example 1: A patient with one prior cesarean delivery presents for routine obstetric care, including prenatal visits, ultimately delivering vaginally without complications., A pregnant patient with a history of two prior C-sections desires a vaginal birth.She receives antepartum care, progresses to a successful VBAC with the use of forceps, and receives appropriate postpartum care.Code 59610 is appropriate., A patient with a prior cesarean delivery receives antepartum care. During labor, complications arise necessitating a repeat cesarean. Code 59610 would NOT be used; instead, one of the codes 59618-59622 would be appropriate.

Documentation must support all aspects of care, including antepartum visits, details of the delivery (e.g., use of forceps, episiotomy), and postpartum care.The previous cesarean delivery should also be clearly documented.

  • Specialties:Obstetrics and Gynecology
  • Place of Service:Inpatient Hospital, Birthing Center
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