MATERNITY CARE AND DELIVERY

INTRODUCTIONThe word maternity is defined as the

state of being a mother.Generally 3 types of services provided

during maternity care: antepartum care, delivery, postpartum care.

Pregnancy conformation during a problem oriented or preventive visit is not considered as a part of antenatal care and should be reported using appropriate E/M service codes

ANTEPARTUM CAREIt includes initial prenatal history

and physical examination.Montly visit upto 28 weeks(7

visits)Monthly twice visit upto 36

weeks(4 visits)Weekly visits until deliveryOther visits during this period is

reported separately

DELIVERYIt includes admission to the

hospital, history, physical examination,management of uncomplicated labor,vaginal delivery or cesrean delivery.

Two types of delivery 1. Normal delivery 2. cesarean delivery.

Medical complications of pregnancy and medical problems complicating labor and delivery management may need to report separately.

Only delivery services reported using (59409,59514,59612,59620)

Post delivery, and discharge services are reported using E/M services.

POSTPARTUM CAREUpto 6 weeks it considered as

postpartum care.Only postpartum services

reported using 59430 including office or other op visit following vaginal or cesarean section delivery.

Surgical complications of pregnacy reported from surgery section.

If only antepartum or postpartum care is provided except delivery reported using 59425,59426,and 59430.

Cordocentesis — also known as percutaneous umbilical blood sampling (PUBS) — is a diagnostic prenatal test in which a sample of the baby's blood is removed from the umbilical cord for testing.

Amniocentesis (also referred to as amniotic fluid test or AFT) is a medical procedure used in prenatal diagnosis of chromosomal abnormalities and fetal infections, and also for sex determination.

For Repeat fetal scalp blood sampling use 59030 using modifier 76 and 77

Ectopic pregnancy embryo grows other than uterus is known as ectopic pregnancy.

Episiotomy also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall.

Cervical cerclage also known as a cervical stitch is a treatment for cervical incompetence or insufficiency

Tocolytics are the medications used to supress the premature labor

Spontaneous abortion, also known as Miscarriage the natural death of an  embryo  or fetus before it is able to survive independently

https://www.medesunglobal.com

THANK YOU