Maternity Care and Delivery, 59400 (Q&A) (April 1998)

April 1998 page 15c Coding Consultation Maternity Care and Delivery, 59400 (Q&A) Question Is a vaginal laceration repair considered part of delivery code 59400 ? AMA Comment Small vaginal tears are not considered a complication of delivery. If minor vaginal tearing occurs and the repair is minimal, it would be considered management of uncomplicated labor and delivery and not coded separately. If, however, an extensive laceration occurs, the -22 modifier may be appended to the global vaginal delivery code to identify the additional effort involved in the repair. Maternity Care and Delivery, 59400 (Q&A). CPT® Assistant. 1998; April...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short AMA CPT coding consultation focused on maternity care and delivery. It discusses how minor versus more extensive vaginal tearing is treated within the delivery service context and mentions when additional reporting may be considered. The piece is relevant to coders, billers, and clinicians working with obstetric global services and delivery documentation.

Why This Topic Matters

Obstetric delivery coding often depends on whether additional work is included in the global service or needs separate recognition. This Q&A helps readers understand the general scope of the delivery service and the type of documentation issues that can arise when laceration repair occurs.

What You Will Learn

  • How a maternity care and delivery coding question is framed in a CPT Q&A format
  • The general relationship between vaginal tearing and the delivery service
  • The type of documentation issue that may arise when delivery care requires extra effort
  • How an AMA coding consultation may address obstetric global services

Who Should Read This

  • Medical coders
  • Billing staff
  • OB/GYN practices
  • Clinical documentation specialists
  • Revenue cycle professionals

Codes Discussed

Modifiers Discussed


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