COBGC Coding Guidelines and Conventions 3

Question 1

The global obstetric package (antepartum, delivery, postpartum) applies to which CPT code range?

Accepted Answer

59400–59430

Answer

CPT codes 59400 (vaginal delivery) and 59510 (cesarean delivery) and their global counterparts (59400–59430) include routine antepartum care, delivery, and postpartum care as a bundled global package.

Question 2

When a provider other than the one who provided antepartum care performs the delivery, how should it be coded?

Accepted Answer

Report only the delivery component code (e.g., 59409 or 59514)

Answer

When the delivering provider did not furnish the antepartum care, only the delivery-only CPT code (such as 59409 for vaginal delivery only) should be reported.

Question 3

Which ICD-10-CM chapter contains the majority of codes used for obstetric conditions?

Accepted Answer

Chapter 15 – Pregnancy, childbirth, and the puerperium

Answer

Chapter 15 (O00–O9A) is the primary chapter for coding conditions related to pregnancy, childbirth, and the puerperium.

Question 4

Which modifier is appended to a CPT code to indicate that a procedure was performed bilaterally?

Accepted Answer

Modifier 50

Answer

Modifier 50 indicates that an identical procedure was performed on both sides of the body during the same operative session.

Question 5

Under ICD-10-CM guidelines, the postpartum period is defined as:

Accepted Answer

The first 6 weeks (42 days) following delivery

Answer

ICD-10-CM defines the postpartum (puerperium) period as the first 6 weeks (42 days) following delivery.

(COBGC) Certified Obstetrics Gynecology Coder Practice Test

(COBGC) Certified Obstetrics Gynecology Coder Practice Test

COBGC Coding Guidelines and Conventions 3