What is global maternity package coding, and how do you apply it?

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Global maternity package coding bundles all routine prenatal care, delivery, and postpartum care into a single payment or code, simplifying billing and reflecting the comprehensive care provided throughout pregnancy.

How it works:
Instead of billing separately for multiple prenatal visits, delivery, and postpartum care, a global maternity code covers all these services as one package.

Common Codes:

• O00–O9A (ICD-10): Diagnosis codes for pregnancy.

• CPT Codes:

  • 59400: Global maternity package for vaginal delivery (includes prenatal care, delivery, and postpartum).

  • 59510: Global package for cesarean delivery.

  • 59425 / 59515: Antepartum care only.

  • 59430 / 59514: Postpartum care only.

Application:

1. Comprehensive Coverage: The global package includes approximately 13 prenatal visits, delivery (vaginal or cesarean), and postpartum care up to 6 weeks.

2. Billing Timing: Typically billed once after delivery or postpartum visit, rather than billing each visit separately.

3. Separate Services: Services outside routine maternity care (e.g., ultrasounds, complications, non-maternity-related care) are billed separately with appropriate modifiers.

4. Documentation: Maintain detailed records of prenatal visits, delivery details, and postpartum care.

Summary:
Global maternity coding bundles routine pregnancy care into one code for simplicity and clarity, requiring careful tracking to separate routine from additional services.

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