Total Laparoscopic Hysterectomy Procedure code
58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less $946
58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less, with removal of tube(s) and/or ovary(ies) $1,056
58572 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250g 1,177
58573 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250g, with removal of tube(s) and/or ovary(ies) 1,351
59400- Obstetrical care - average fee payment - $2370 - $2380
Obstetrical Billing Guidelines
Services included in the Global OB CPT®’ Code 59400 (Vaginal delivery) or 59510 (Cesarean delivery) Note:
• The following information is applicable to Plans with maternity benefits.
• Maternity care is subject to a one-time office visit copayment. For BCBS plans with a copayment, this copayment should be
collected at the time of the initial OB office visit.
• Physicians will be reimbursed for the initial OB visit separately from the “global maternity care” and should submit a claim for this service at the time of the initial OB visit. Claims should include expected delivery date.
All subsequent office visits for maternity care and delivery are considered as part of the “global maternity care” reimbursement.
Submit claim upon delivery
Amniocentesis Code amniocentesis separately from the global delivery code. Amniocentesis is not included in the Global CPT codes of 59400 (Vaginal delivery) or 59510 (Cesarean delivery).
Ultrasounds Code ultrasounds separately from the global delivery code. Ultrasounds are not included in the Global CPT codes of 59400 (Vaginal delivery) or 59510 (Cesarean delivery).
Where to Find More Information On Obstetrical Billing The answers to most obstetrical billing questions can be found in the “Physician’s Current Procedural Terminology (CPT)” manual. Maternity Care and Delivery is a subsection of the Surgery section. Surgical procedures are either package (global) services or starred procedures (non-global). An understanding of the global package services is needed to code Maternity Care and Delivery Services correctly. For additional resources on CPT coding, contact the American Medical Association (AMA) order desk at (800) 621-8335.
Global maternity care includes pregnancy-related antepartum care, admission to labor and delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum.
A global charge should be billed for maternity claims when all maternity-related services, as outlined in Blue Cross and Blue Shield of North Carolina’s (BCBSNC’s) corporate medical policy “Guidelines for Global Maternity Reimbursement,” are provided by the same physician or physicians practicing at the same location. The number of antepartum visits may vary from patient to patient; however, if global maternity care (more than three antepartum visits, delivery and postpartum care) is provided, all maternity-related visits should be billed under the global maternity code. Individual E&M codes should not be billed to report maternity-related E&M visits. Prenatal care is considered an integral part of the global reimbursement and will not be paid separately
The Current Procedural Terminology® (CPT) manual identifies the following CPT codes as global maternity services:
+ 59400 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care
+ 59510 - Routine obstetric care including antepartum care, cesarean delivery and postpartum care
+ 59610 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery
+ 59618 - Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery
Billing tips:
+ An initial visit, confirming the pregnancy, is not a part of global maternity care services (verification of benefits will determine appropriate member liability).
+ A global charge should be billed when one or more physicians, practicing at the same location (filing under the same federal tax identification number), provide all components of the patient’s maternity care including; four or more antepartum visits, delivery and postpartum care. Note: Claims filed for partial maternity care with
E&M codes for one to three visits will deny when billed prior to the actual delivery, as all claims related to the maternity care must be received in order to account for the appropriate number of visits.
+ Antepartum services such as laboratory tests (excluding dipstick urinalysis), diagnostic ultrasound, amniocentesis, ordocentesis, chorionic villus sampling, fetal stress test, and fetal non-stress test are not considered part of global aternity services and should be billed separately.
Maternity billing codes
OB Global Billing:
59400 - Billed for vaginal delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22 or 52 modifier(s) appended.
59510 -Billed for c-section delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22, 52, AS, 80 modifier(s) appended.
59610 -Billed for VBAC delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22 or 52 modifier(s) appended.
59618 -Billed for c-section after attempted VBAC including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22, 52, AS,80 modifier(s) appended.
58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less $946
58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less, with removal of tube(s) and/or ovary(ies) $1,056
58572 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250g 1,177
58573 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250g, with removal of tube(s) and/or ovary(ies) 1,351
59400- Obstetrical care - average fee payment - $2370 - $2380
Obstetrical Billing Guidelines
Services included in the Global OB CPT®’ Code 59400 (Vaginal delivery) or 59510 (Cesarean delivery) Note:
• The following information is applicable to Plans with maternity benefits.
• Maternity care is subject to a one-time office visit copayment. For BCBS plans with a copayment, this copayment should be
collected at the time of the initial OB office visit.
• Physicians will be reimbursed for the initial OB visit separately from the “global maternity care” and should submit a claim for this service at the time of the initial OB visit. Claims should include expected delivery date.
All subsequent office visits for maternity care and delivery are considered as part of the “global maternity care” reimbursement.
Submit claim upon delivery
Amniocentesis Code amniocentesis separately from the global delivery code. Amniocentesis is not included in the Global CPT codes of 59400 (Vaginal delivery) or 59510 (Cesarean delivery).
Ultrasounds Code ultrasounds separately from the global delivery code. Ultrasounds are not included in the Global CPT codes of 59400 (Vaginal delivery) or 59510 (Cesarean delivery).
Where to Find More Information On Obstetrical Billing The answers to most obstetrical billing questions can be found in the “Physician’s Current Procedural Terminology (CPT)” manual. Maternity Care and Delivery is a subsection of the Surgery section. Surgical procedures are either package (global) services or starred procedures (non-global). An understanding of the global package services is needed to code Maternity Care and Delivery Services correctly. For additional resources on CPT coding, contact the American Medical Association (AMA) order desk at (800) 621-8335.
Global maternity care includes pregnancy-related antepartum care, admission to labor and delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum.
A global charge should be billed for maternity claims when all maternity-related services, as outlined in Blue Cross and Blue Shield of North Carolina’s (BCBSNC’s) corporate medical policy “Guidelines for Global Maternity Reimbursement,” are provided by the same physician or physicians practicing at the same location. The number of antepartum visits may vary from patient to patient; however, if global maternity care (more than three antepartum visits, delivery and postpartum care) is provided, all maternity-related visits should be billed under the global maternity code. Individual E&M codes should not be billed to report maternity-related E&M visits. Prenatal care is considered an integral part of the global reimbursement and will not be paid separately
The Current Procedural Terminology® (CPT) manual identifies the following CPT codes as global maternity services:
+ 59400 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care
+ 59510 - Routine obstetric care including antepartum care, cesarean delivery and postpartum care
+ 59610 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery
+ 59618 - Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery
Billing tips:
+ An initial visit, confirming the pregnancy, is not a part of global maternity care services (verification of benefits will determine appropriate member liability).
+ A global charge should be billed when one or more physicians, practicing at the same location (filing under the same federal tax identification number), provide all components of the patient’s maternity care including; four or more antepartum visits, delivery and postpartum care. Note: Claims filed for partial maternity care with
E&M codes for one to three visits will deny when billed prior to the actual delivery, as all claims related to the maternity care must be received in order to account for the appropriate number of visits.
+ Antepartum services such as laboratory tests (excluding dipstick urinalysis), diagnostic ultrasound, amniocentesis, ordocentesis, chorionic villus sampling, fetal stress test, and fetal non-stress test are not considered part of global aternity services and should be billed separately.
Maternity billing codes
OB Global Billing:
59400 - Billed for vaginal delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22 or 52 modifier(s) appended.
59510 -Billed for c-section delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22, 52, AS, 80 modifier(s) appended.
59610 -Billed for VBAC delivery including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22 or 52 modifier(s) appended.
59618 -Billed for c-section after attempted VBAC including ante-partum and postpartum. Do not use this code if less than 4 ante-partum visits performed. May have 22, 52, AS,80 modifier(s) appended.