June 01, 2022

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 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

PCA-22-01498