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Question: A patient was seen by a clinic for their entire pregnancy, but they had an unplanned delivery at home. After delivery, they are admitted to the hospital but have no complications. I will be splitting their antepartum out, but I am trying to figure out what else can be billed besides their postpartum care. Can you bill the admit, subsequent visits, discharge, and then the postpartum care? Or would it just be the admit and the postpartum care (59430)?

Idaho Subscriber

Answer: Code 59430 (Postpartum care only (separate procedure)) includes only outpatient postpartum care. So yes, bill the admission (99221-99223, Initial hospital care, per day, for the E/M of a patient ...), any subsequent care (99231-99233, Subsequent hospital care, per day, for the E/M of a patient ...), the discharge day management (99238-99239, Hospital discharge day management ...), and then 59430.

Also, don鈥檛 forget the antepartum care. For instance, if your physician provided seven or more antepartum visits, you should report 59426 (Antepartum care only; 7 or more visits), according to the American College of Obstetricians and Gynecologists (ACOG). You should report 59426 only once and place a 鈥�1鈥� in the units box. Be sure to note the 鈥渢o鈥� and 鈥渇rom鈥� dates for the services your ob-gyn provided.

Suzanne Burmeister, BA, MPhil, Medical Writer and Editor