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