Delivery and global OB package coding
The short answer
The global obstetric codes 59400, 59510, and 59610 bundle routine antepartum visits, delivery, and postpartum care into one fee, and the component codes below cover every way that bundle splits. Start with The Global OB Package, explained for how the bundle works, transfer of care for mid-pregnancy splits, and postpartum visit coding for the tail end of the episode.
Source: CMSSource: ACOG
Postpartum Visit Coding and CPT 59430 Postpartum care is inside the global fee unless someone else delivered; then 59430. 59430 Cervical Cerclage, Vaginal Approach CPT 59320 code description in plain language: vaginal cervical cerclage during pregnancy for cervical insufficiency. Billing outside the global OB package, removal coding, 2026 rates, denials. 59320 Global OB Care, Vaginal Delivery CPT 59400 code description in plain language: the global obstetric package for vaginal delivery. What the global fee includes, what bills separately, transfer-of-care rules, 2026 Medicare rates, and common denials. 59400 Vaginal Delivery Only CPT 59409 code description in plain language: vaginal delivery without antepartum or postpartum care. Second-twin billing, late transfers, on-call deliveries, 2026 rates, and denials. 59409 Vaginal Delivery Plus Postpartum Care CPT 59410 code description in plain language: vaginal delivery with postpartum care but no antepartum package. Late-transfer billing, pairing with 59425/59426, 2026 rates, denials. 59410 External Cephalic Version CPT 59412 code description in plain language: external cephalic version to turn a breech baby. Billing ECV with delivery codes, tocolysis and ultrasound bundling, 2026 rates, denials. 59412 Antepartum Care Only, 4 to 6 Visits CPT 59425 code description in plain language: antepartum care only, 4 to 6 visits, when the practice does not deliver. Visit thresholds vs 59426 and per-visit E/M, 2026 rates, denials. 59425 Antepartum Care Only, 7 or More Visits CPT 59426 code description in plain language: antepartum care only, 7 or more visits, when another practice delivers. One flat bundle regardless of count, 2026 rates, denials. 59426 Global OB Care, Cesarean Delivery CPT 59510 code description in plain language: the global obstetric package for cesarean delivery. What the bundle includes, 59510 vs 59400 vs 59618, assistant surgeon billing, 2026 rates, denials. 59510 Cesarean Delivery Only CPT 59514 code description in plain language: the cesarean surgery alone, without antepartum or postpartum care. Late transfers, covering surgeons, 2026 rates, and denials. 59514 Cesarean Delivery Plus Postpartum Care CPT 59515 code description in plain language: cesarean delivery with postpartum care but no antepartum package. Late-transfer billing, pairing with antepartum codes, 2026 rates, denials. 59515 Global OB Care, VBAC Delivery CPT 59610 code description in plain language: the global obstetric package for a successful VBAC. 59610 vs 59510 vs 59618, prior-cesarean documentation, 2026 rates, denials. 59610 VBAC Delivery Only CPT 59612 code description in plain language: vaginal birth after cesarean, delivery only, without antepartum or postpartum care. Late transfers, on-call VBACs, 2026 rates, denials. 59612 VBAC Delivery Plus Postpartum Care CPT 59614 code description in plain language: vaginal birth after cesarean with postpartum care but no antepartum package. Late-transfer VBAC billing, 2026 rates, and denials. 59614 Global OB Care, Cesarean After Attempted VBAC CPT 59618 code description in plain language: the global package when a VBAC attempt ends in a repeat cesarean. 59618 vs 59510 vs 59610, labor-trial documentation, 2026 rates, denials. 59618 Cesarean After Attempted VBAC, Delivery Only CPT 59620 code description in plain language: repeat cesarean after a failed VBAC attempt, delivery only. In-labor transfers, on-call conversions, 2026 rates, and denials. 59620 Cesarean After Attempted VBAC, Delivery Plus Postpartum CPT 59622 code description in plain language: repeat cesarean after a failed VBAC attempt, with postpartum care but no antepartum package. Late-transfer billing, 2026 rates, denials. 59622 Surgical Treatment of Incomplete Miscarriage, First Trimester CPT 59812 code description in plain language: surgical completion of an incomplete first-trimester miscarriage. Code choice vs 59820, antepartum billing after a loss, 2026 rates, denials. 59812