COBGC Obstetric Coding Basics 3 — Questions and Answers
Question 1: Which CPT code represents the global obstetric package for antepartum care, vaginal delivery, AND postpartum care?
- 59410
- 59400 (Correct answer)
- 59430
- 59425
Correct answer: 59400
CPT 59400 represents the complete global obstetric package including antepartum care, vaginal delivery, and postpartum care.
Question 2: A covering physician performs a vaginal delivery only; the patient's regular OB provided all antepartum care and will provide postpartum care. Which CPT code does the covering physician bill?
- 59400
- 59410 (Correct answer)
- 59430
- 59426
Correct answer: 59410
CPT 59410 (vaginal delivery only, with or without episiotomy) is used when a physician performs delivery but not antepartum or postpartum care.
Question 3: How many antepartum visits are included in the global obstetric package under standard CPT guidelines?
- 8
- 10
- 13 (Correct answer)
- 16
Correct answer: 13
The global OB package includes 13 antepartum visits; visits beyond 13 are billed separately with E/M codes.
Question 4: A physician provided antepartum-only care for 5 visits and will not perform the delivery. Which CPT code is appropriate?
- 59425 (Correct answer)
- 59426
- 59400
- 99215
Correct answer: 59425
CPT 59425 covers antepartum care only for 4–6 visits when no delivery or postpartum care is provided.
Question 5: Which CPT code represents the global obstetric package for antepartum care, cesarean delivery, and postpartum care?
- 59400
- 59510 (Correct answer)
- 59514
- 59610
Correct answer: 59510
CPT 59510 is the global package for cesarean delivery, including antepartum and postpartum care.
Question 6: What CPT code is used for an external cephalic version (ECV)?
- 59400
- 59414
- 59412 (Correct answer)
- 59430
Correct answer: 59412
CPT 59412 is the code for external cephalic version (ECV), with or without tocolysis.
Question 7: A patient with a prior cesarean successfully delivers vaginally (VBAC). The physician provided all antepartum, delivery, and postpartum care. Which CPT code applies?
- 59400
- 59510
- 59610 (Correct answer)
- 59618
Correct answer: 59610
CPT 59610 is the global obstetric package specifically for routine care including antepartum care, VBAC, and postpartum care.
Which CPT code represents the global obstetric package for antepartum care, vaginal delivery, AND postpartum care?