Code Description
CPT 59514 is reported for cesarean delivery only. It includes the surgical delivery of the fetus and placenta through an abdominal incision, plus immediate care on the same date. It excludes antepartum and postpartum services.
Purpose
Used when the provider performs only the cesarean surgery without managing prenatal or postpartum care. This code ensures reimbursement for the delivery portion of obstetric care when other services are rendered separately.
Common Use Cases
- The provider only performs the surgical delivery.
- Another provider handles the patient’s prenatal/postpartum care.
- The payer requires a separation of delivery from global obstetric billing.
Documentation Essentials For CPT Code 59514
- Operative report with delivery details.
- Statement confirming no antepartum/postpartum care provided.
- Indications for surgery and intraoperative notes.
Medicare Coverage & Reimbursement For CPT Code 59514
Medicare reimburses CPT 59514 when medically necessary and documented. Payment is based on the Medicare Physician Fee Schedule and may vary by locality. Always confirm requirements with your MAC to ensure compliance.
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Related ICD-10-CM Codes
ICD-10-CM Codes
O09.522 - Supervision of elderly multigravida, second trimester
O09.523 - Supervision of elderly multigravida, third trimester
O09.90 - Supervision of high risk pregnancy, unspecified, unspecified trimester
O09.92 - Supervision of high risk pregnancy, unspecified, second trimester
O09.93 - Supervision of high risk pregnancy, unspecified, third trimester
O24.415 - Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs
O24.419 - Gestational diabetes mellitus in pregnancy, unspecified control
O24.425 - Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs
O32.1XX1 - Maternal care for breech presentation, fetus 1
O32.1XX2 - Maternal care for breech presentation, fetus 2
O32.1XX3 - Maternal care for breech presentation, fetus 3
O32.1XX4 - Maternal care for breech presentation, fetus 4
O32.1XX5 - Maternal care for breech presentation, fetus 5
O32.1XX9 - Maternal care for breech presentation, other fetus
O32.9XX0 - Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified
O32.9XX1 - Maternal care for malpresentation of fetus, unspecified, fetus 1
O32.9XX3 - Maternal care for malpresentation of fetus, unspecified, fetus 3
Z03.71 - Encounter for suspected problem with amniotic cavity and membrane ruled out
Z33.1 - Pregnant state, incidental
Z33.3 - Pregnant state, gestational carrier
Z34.80 - Encounter for supervision of other normal pregnancy, unspecified trimester
Z37.69 - Other multiple births, some liveborn
Z37.7 - Other multiple births, all stillborn
Z37.9 - Outcome of delivery, unspecified
Z39.2 - Encounter for routine postpartum follow-up
Related CPT Codes
CPT Codes
59610 - Routine Obstetric Care, Vaginal Delivery After Previous Cesarean (VBAC)
59614 - Vaginal Delivery After Previous Cesarean Delivery with Postpartum Care
59100 - Hysterotomy, Abdominal, for Unruptured Uterus (Not for Delivery)
59618 - Failed VBAC with Cesarean Delivery (Global)
59622 - Repeat Cesarean Delivery After Failed VBAC (Global)