Maternity Care and Delivery, 59425, 59426 (Q&A) (April 1997)

April 1997 page 11 Coding Consultation Maternity Care and Delivery, 59425, 59426 (Q&A) Question My physician, who is an OB/GYN, saw a patient and provided only the antepartum care because the patient delivered elsewhere. How would I report the antepartum care? AMA Comment From a CPT coding perspective, if the physician treats the patient 4-6 visits, then you should report CPT code 59425 , Antepartum care only; 4-6 visits. If the physician treats the patient 7 or more times, then report code 59426 , Antepartum care only; 7 or more visits. In this instance, you should report only one code...

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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 brief AMA/CPT coding consultation explains the topic of antepartum-only maternity care in an OB/GYN setting when the delivery is performed by another provider. It is relevant to coders, billers, and clinical staff looking for a quick understanding of how the article frames visit-based maternity care reporting within CPT guidance.

Why This Topic Matters

Maternity care encounters can be split across providers, so understanding how the article frames antepartum-only reporting helps readers determine whether the full Q&A is relevant to their billing or coding question.

Article Sections

  1. Coding Consultation

    Introduces the Q&A format and the maternity care coding topic addressed by the article.

  2. Question

    Presents the reader’s scenario involving antepartum care provided when delivery occurred outside the practice.

  3. AMA Comment

    Summarizes the AMA/CPT discussion of antepartum-only maternity care reporting based on the number of visits and the related coding context.

What You Will Learn

  • The article’s focus within CPT maternity care and delivery coding.
  • How the Q&A is framed around antepartum-only care when delivery happens elsewhere.
  • The general visit-based structure discussed in the AMA comment.
  • The type of coding guidance the article provides for OB/GYN billing scenarios.

Who Should Read This

  • Medical coders
  • Billing specialists
  • OB/GYN practice staff
  • Compliance teams
  • Coding educators

Codes Discussed


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