What is the CPT code(s) for this case and if any modifier(s) if applicable? 9. PREOPERATIVE...

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What is the CPT code(s) for this case and if any modifier(s) if applicable?

9. PREOPERATIVE DIAGNOSIS: Term pregnancy in active labor. POSTOPERATIVE DIAGNOSIS: Same, with midline episiotomy repaired. O

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Answer 1

Answer #1

CPT code is a global code that includes antepartum and postpartum care.

· Code 59400 including antepartum, vaginal delivery, and postpartum care. Coding / Reimbursement-The primary procedure will be allowed at 100% of the contracted rate, subject to the member’s contract benefits

· Code 59409 is for first new born. Coding/ reimbursement - The vaginal delivery will be considered a secondary procedure and will be allowed at 50% of the contracted rate for each newborn, subject to the member’s contract benefits.

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