Home birth coding examples
The following are examples of how to code typical home-birth services.
Routine home birth services
You provide a full course of antepartum care, at-home labor and delivery (intrapartum), all postpartum care, and two home visits for newborn care.
CPT-4 codes:
- 59400: Antepartum, intrapartum, and postpartum patient care
- 99461: Initial home visit for newborn care
- 99461: Second home visit for newborn care
Routine pre-approved birth center delivery
You provide a full course of antepartum care and preauthorized labor and delivery services at a birth center, initial exam in the birth center, and one home visit for newborn care.
CPT-4 codes:
- 59400: Antepartum, intrapartum, and postpartum patient care
- 59400: SG facility fees for the birth center
- 99460 or 99463: Initial newborn care in a birth center
- 99461: Second home visit for newborn care
Hospital transfer during labor with no postpartum or newborn services
You provide a course of antepartum care and manage labor in the patient's home until she requires transfer to a hospital for delivery. You perform no postpartum or newborn care.
CPT-4 codes:
- 59425 or 59426: Antepartum care only (based on the number of antepartum visits)
- 99354: Labor management
Hospital transfer during labor with postpartum and newborn care by home birth practitioner
You provide a course of antepartum care and manage labor in the woman's home until she requires transfer to a hospital for delivery. After hospital discharge, you provide the mother's postpartum care and one newborn care home visit.
CPT-4 codes:
- 59425 or 59426: Antepartum care only (based on the number of antepartum visits)
- 99354: Labor management
- 59430: Postpartum care only
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