Specialty Spotlight: Here’s How to Navigate Antepartum Visits Outside of Global Maternity Code

Why This Topic Matters

Antepartum care is often billed differently depending on visit count and payer policy, so understanding the general reporting options helps practices reduce claim errors, avoid reimbursement delays, and support compliant billing workflows.

Article Sections

1. Antepartum care outside the global maternity package

   Introduces the billing scenario in which antepartum care is provided without the delivering provider completing the delivery. It frames the article around general reporting approaches and claim considerations.

2. Option 1: E/M codes for 1 to 3 visits

   Describes one reporting pathway for a small number of antepartum encounters and notes that diagnosis and date-of-service details are part of the discussion.

3. Option 2: Report 59425 for 4 to 6 visits

   Covers the visit-count-based approach for a mid-range number of antepartum services and mentions claim form placement and date span documentation.

4. Option 3: Consult payers for reporting 7+ visits

   Addresses reporting considerations when the number of antepartum visits is higher and emphasizes payer-specific policy variation and documentation expectations.