Missouri: CPT® code changes for obstetrical services beginning Aug. 1, 2022
Effective Aug. 1, 2022, providers in Missouri are required to submit claims with the Current Procedural Terminology (CPT®) codes for obstetrical service provided to Medicaid plan members. Claims without the proper codes will be denied.
Use the codes below when submitting claims.
Prenatal Care Code
Use appropriate E&M Code (99213 is illustrative only)
Vaginal Delivery Only
Cesarean Delivery Only
VBAC - Vaginal Delivery with Previous Cesarean
Cesarean Delivery Only after attempted VBAC
Global codes will be denied.
Postpartum Care Codes
Postpartum Care performed 7 to 84 days from delivery
99213 or 59430
Use the appropriate E&M Code (99213 is illustrative only) or 59430 without a modifier for postpartum care performed less than 21 or more than 56 days from delivery.