Medical professionals need accurate CPT codes and modifiers to ensure that the billing process runs smoothly. Inaccurate codes could result in delayed collections or even trigger an audit. Therefore, your OB/GYN practice can benefit from knowing the most updated CPT codes for 2024 in the field.
Common OB/GYN CPT Codes 2024
The following are the CPT codes for OB/GYN procedures that healthcare offices see most frequently.
Evaluation and Management
Consultations
- 99242: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision-making
- 99243: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and a low level of medical decision-making
- 99244: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and a moderate level of medical decision-making
- 99245: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and a high level of medical decision-making
Visits and Evaluations
- 99201: Problem-focused office visit from new patient
- 99202: Expanded problem-focused office visit from new patient
- 99203: Detailed office visit from new patient
- 99204: Comprehensive office visit from a new patient with a review of 2-9 symptoms
- 99205: Comprehensive office visit from a new patient with a review of 10 or more symptoms
- 99211: Straightforward office visit from established patient
- 99212: Problem-focused office visit from established patient
- 99213: Expanded problem-focused office visit from established patient
- 99214: Detailed office visit from established patient
- 99215: Comprehensive office visit from established patient
Common Birth CPT Codes
- 59400: Routine obstetric care for vaginal delivery (with or without episiotomy and/or forceps), including antepartum and postpartum care
- 59409: Vaginal delivery only
- 59410: Vaginal delivery only, including postpartum care
- 59425: Antepartum care only; 4-6 visits
- 59426: Antepartum care only; 7 or more visits
- 59510: Routine obstetric care for cesarean section delivery, including antepartum and postpartum care
- 59514: Cesarean delivery only
- 59515: Cesarean delivery only, including postpartum care
- 59610: Routine obstetric care for vaginal delivery (with or without episiotomy and/or forceps) after cesarean delivery, including antepartum and postpartum care
- 59612: Vaginal delivery only, after previous cesarean delivery
- 59614: Vaginal delivery only, after previous cesarean delivery; including postpartum care
- 59618: Routine obstetric care for cesarean delivery following attempted vaginal delivery after previous cesarean delivery, including antepartum and postpartum care
- 59620: Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery
- 59622: Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care
Hysterectomy Code Ranges
- 58150-58210: Abdominal hysterectomy codes
- 58260-58291: Vaginal hysterectomy codes
- 58541-58573: Laparoscopic hysterectomy codes
Well Woman Visits
- 99385: Well-patient visit for a new patient between the ages of 18-39
- 99386: Well-patient visit for a new patient between the ages of 40-64
- 99387: Well-patient visit for a new patient age 65 or older
- 99395: Well-patient visit for an established patient between the ages of 18-39
- 99396: Well-patient visit for an established patient between the ages of 40-64
- 99397: Well-patient visit for an established patient age 65 or older
- 99000: Office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory (such as a pap smear)
Contraception CPT Codes
- 58300: Placement of intrauterine device (IUD)
- 58301: Removal of IUD
- 11981: Insertion, non-biodegradable drug delivery implant
- 11982 Removal of non-biodegradable drug delivery implant
- 11983: Removal with reinsertion, non-biodegradable drug delivery implant
Common Ultrasound CPT Codes
- 76857: Ultrasound, pelvic [nonobstetric], real-time with image documentation; limited or follow-up (such as to view the placement of IUD)
- 76830: Ultrasound, transvaginal to assess reproductive organs
- 76831: Ultrasound examination with saline or color flow Dopper to enhance imaging
- 76801: Ultrasound of pregnant uterus during the first trimester of pregnancy using transabdominal approach
- 76805: Ultrasound of pregnant uterus after the first trimester of pregnancy using transabdominal approach
- 76811: Transabdominal ultrasound to examine pregnant fetus with additional examination of fetal anatomy such as the heart rate, amniotic fluid levels, etc.
- 76817: Ultrasound of pregnant uterus and mother using a transvaginal approach
2024 Modifiers
Modifiers exist to ensure there aren’t any repetitions in the coding. Here are the 2024 OB/GYN modifiers.
- 22: Additional or increased services, such as if a woman delivers twins
- 25: Separate evaluation on the same day as another procedure or service
- 91: Repeat tests taken on the same day with different specimens at different times
- 95: Synchronous telemedicine service rendered via real-time Interactive audio and video telecommunications system
- 310: Not vaccinated against COVID-19
- 311: Partly vaccinated against COVID-19
- 39: Indicates any other under-immunized status
For informational purposes only.
