Overview
CPT 59610 refers to the global maternity package for a successful VBAC (vaginal birth after cesarean) that includes antepartum care, labor and delivery, and postpartum care. This code applies when the same provider manages the entire pregnancy through postpartum care following a prior cesarean section.
Purpose
Using CPT 59610 ensures full reimbursement for comprehensive maternal care in high-risk VBAC scenarios. It avoids splitting services into multiple claims and supports continuity of documentation throughout the maternity episode.
Clinical Scenarios Where 59610 Applies
- The provider supervises the pregnancy, delivers vaginally after a previous cesarean, and provides postpartum follow-up.
- Episiotomy or low-forceps delivery is performed during the VBAC.
- Antepartum care begins in early pregnancy and continues with the same provider through delivery and routine postpartum visits.
Procedure Overview for 59610
- Inclusions: Comprehensive prenatal visits, hospital admission, labor support, fetal monitoring, episiotomy or forceps use, delivery of fetus and placenta, inpatient postpartum care, and outpatient visits up to six weeks after delivery.
- Exclusions: Antepartum-only, delivery-only, or postpartum-only care when provided separately, and any ultrasounds, lab work, or unrelated E/M services.
- Documentation Requirements: Record prior cesarean history, labor details including monitoring and interventions, hospital discharge date, and postpartum follow-up notes.
Billing and Reimbursement Tips for 59610
- Use CPT 59610 only if the same provider or group provides antepartum care, VBAC delivery, and postpartum services.
- Do not use this code if fewer than four prenatal visits occurred under your care; split component codes must be used instead.
- Do not separately bill routine postpartum or delivery codes with 59610.
- Bill unrelated E/M visits separately with appropriate ICD-10 codes and modifier 25.
Maximize VBAC Delivery Reimbursement with Proven Billing Strategies
VBAC deliveries are clinically rewarding but come with billing complexity that can cause underpayments if not managed correctly. CPT 59610 requires precise documentation for antepartum care, vaginal delivery after cesarean, and postpartum services, all by the same provider or group. Missing even one compliance detail can cost practices thousands in lost revenue.
At BillingFreedom, we help healthcare practices turn VBAC coding challenges into revenue opportunities. Our results-driven approach to OBGYN medical billing services consistently delivers measurable gains:
- 15–20% higher reimbursement accuracy through proactive documentation reviews and code pairing audits.
- 20–25% faster payments by eliminating claim errors before submission and streamlining payer communication.
- Up to 30% reduction in denials by applying payer-specific VBAC billing rules and pre-edit checks.
- 97–99% first-pass acceptance rates for global maternity packages, even in high-risk cases.
- With our expertise, your VBAC claims are not only compliant but optimized for full payment, freeing your team to focus on delivering exceptional patient care while we protect your revenue cycle.
For more details about our exceptional medical billing services, please don't hesitate to contact us via email at info@billingfreedom.com or call us at +1 (855) 415-3472.
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Related ICD-10-CM Codes
ICD-10-CM Codes
O09.00 - Supervision of pregnancy with history of infertility, unspecified trimester
O09.522 - Supervision of elderly multigravida, second trimester
O09.892 - Supervision of other high risk pregnancies, second trimester
O09.A0 - Supervision of pregnancy with history of molar pregnancy, unspecified trimester
O09.A1 - Supervision of pregnancy with history of molar pregnancy, first trimester
O09.A2 - Supervision of pregnancy with history of molar pregnancy, second trimester
O09.A3 - Supervision of pregnancy with history of molar pregnancy, third trimester
O10.012 - Pre-existing essential hypertension complicating pregnancy, second trimester
O10.112 - Pre-existing hypertensive heart disease complicating pregnancy, second trimester
O10.212 - Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester
O10.312 - Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester
O10.412 - Pre-existing secondary hypertension complicating pregnancy, second trimester
O10.912 - Unspecified pre-existing hypertension complicating pregnancy, second trimester
O11.2 - Pre-existing hypertension with pre-eclampsia, second trimester
O12.04 - Gestational edema, complicating childbirth
O13.5 - Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium
O14.02 - Mild to moderate pre-eclampsia, second trimester
O15.1 - Eclampsia complicating labor
O16.2 - Unspecified maternal hypertension, second trimester
O20.9 - Hemorrhage in early pregnancy, unspecified
O21.2 - Late vomiting of pregnancy
O24.415 - Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs
O25.2 - Malnutrition in childbirth
O26.12 - Low weight gain in pregnancy, second trimester
O30.93 - Multiple gestation, unspecified, third trimester
O31.32X0 - Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecified
O32.8XX0 - Maternal care for other malpresentation of fetus, not applicable or unspecified
O34.211 - Maternal care for low transverse scar from previous cesarean delivery
O35.19X9 - Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality, other fetus
O36.4XX0 - Maternal care for intrauterine death, not applicable or unspecified
O40.3XX0 - Polyhydramnios, third trimester, not applicable or unspecified
O41.02X0 - Oligohydramnios, second trimester, not applicable or unspecified
O43.93 - Unspecified placental disorder, third trimester
O44.02 - Complete placenta previa NOS or without hemorrhage, second trimester
O45.93 - Premature separation of placenta, unspecified, third trimester
O46.002 - Antepartum hemorrhage with coagulation defect, unspecified, second trimester
O48.1 - Prolonged pregnancy
O60.12X0 - Preterm labor second trimester with preterm delivery second trimester, not applicable or unspecified
O67.9 - Intrapartum hemorrhage, unspecified
O68 - Labor and delivery complicated by abnormality of fetal acid-base balance
O70.0 - First degree perineal laceration during delivery
O71.9 - Obstetric trauma, unspecified
O74.1 - Other pulmonary complications of anesthesia during labor and delivery
O75.4 - Other complications of obstetric surgery and procedures
O77.0 - Labor and delivery complicated by meconium in amniotic fluid
O80 - Encounter for full-term uncomplicated delivery
O89.3 - Toxic reaction to local anesthesia during the puerperium
O99.893 - Other specified diseases and conditions complicating puerperium
Z03.71 - Encounter for suspected problem with amniotic cavity and membrane ruled out
Z34.00 - Encounter for supervision of normal first pregnancy, unspecified trimester
Z36.8A - Encounter for antenatal screening for other genetic defects
Z36.9 - Encounter for antenatal screening, unspecified
Z37.0 - Single live birth
Z39.2 - Encounter for routine postpartum follow-up
Related CPT Codes
CPT Codes
59425 - Vaginal Delivery with Postpartum Care
59400 - Routine Obstetric Care. Vaginal Delivery, Antepartum and Postpartum Care Procedures
59150 - Laparoscopic Treatment of Ectopic Pregnancy
59030 - Fetal Scalp Blood Sampling
59620 - Cesarean Delivery Only After Attempted VBAC (Delivery-Only Global)