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 | Description |
|---|---|
| 99213 | Use appropriate E&M Code (99213 is illustrative only) |
| Delivery Codes | Description |
| 59409 | Vaginal Delivery Only |
| 59514 | Cesarean Delivery Only |
| 59612 | VBAC - Vaginal Delivery with Previous Cesarean |
| 59620 | Cesarean Delivery Only after attempted VBAC |
| Global codes will be denied. | |
| Postpartum Care Codes | Description |
| 59430 | 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. |
Questions?
For more information, please access the Obstetrical Services Policy.
CPT® is a registered trademark of the American Medical Association