Specialty Billing

OB-GYN Medical Billing Services

Global maternity packages like 59400 and 59510, split-billed antepartum visits after transfer of care, and OB ultrasound coding each carry their own payer rules, and one wrong modifier can bundle away thousands. MedTaskly's AAPC-certified OB-GYN billing team captures every antepartum, delivery, and gyn charge so you get paid faster with fewer denials.

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Quick Answer

What makes OB-GYN medical billing more complicated than other specialties?

OB-GYN medical billing is harder because most maternity care is paid through a single global package, such as CPT 59400 for vaginal delivery or 59510 for cesarean, covering antepartum visits, delivery, and postpartum care. When a patient transfers care mid-pregnancy or changes insurance, practices must split-bill antepartum visits with codes like 59425 or 59426, and getting that wrong means denied or underpaid claims.

Why It Matters

Why OB-GYN Practices Lose Revenue Inside the Global Maternity Package

Bundled deliveries, split-billed visits, and ultrasound edits quietly erode collections.

OB-GYN revenue runs through the global maternity package. CPT 59400 covers antepartum care, vaginal delivery, and postpartum care as one payment, while 59510 does the same for cesarean deliveries. That structure creates traps: bill an office visit that belongs inside the package and it denies, but miss a legitimate split-bill when a patient transfers care, and you leave money behind. Codes 59425 (4-6 antepartum visits) and 59426 (7 or more) exist for exactly those transfer-of-care scenarios, yet many practices never use them correctly.

Ultrasounds add another layer, since payers apply different rules to 76801, 76805, and 76817 and often deny repeat scans without documented medical necessity. Gyn procedures and well-woman exams bring their own modifier and frequency edits. MedTaskly's AAPC-certified coders handle OB-GYN billing for practices nationwide, part of the 1,500+ providers we serve, and our 98% clean-claim rate means claims go out right the first time, so you get paid faster with fewer denials.

What We Handle

End-to-end OB-GYN billing revenue cycle

Global Maternity Package Coding
Correct use of 59400, 59510, and related delivery codes, with every service inside or outside the package billed properly.
Antepartum Split-Billing
Accurate 59425 and 59426 billing for transfer-of-care and insurance-change scenarios so no antepartum visit goes unpaid.
OB Ultrasound Coding and Auth
Clean coding for 76801, 76805, and 76817 plus prior authorization and medical-necessity documentation for repeat scans.
Eligibility and OB Benefits Verification
Upfront verification of maternity benefits, deductibles, and newborn coverage before the first antepartum visit.
Denial Management and Appeals
Root-cause analysis of bundling, modifier, and frequency denials, with appeals filed and tracked to payment.
Provider Credentialing and Enrollment
Payer credentialing and re-enrollment for OB-GYNs, midwives, and nurse practitioners joining your practice.
FAQ

OB-GYN Medical Billing Services — questions answered

What CPT codes are used for OB-GYN billing?
The core maternity codes are 59400 (global vaginal delivery), 59510 (global cesarean), 59409 and 59514 (delivery only), and 59425 or 59426 for antepartum-only care. Common OB ultrasound codes include 76801, 76805, and 76817. Gyn and well-woman services use preventive E/M codes such as 99385-99387 and 99395-99397, plus procedure codes for services like colposcopy or IUD insertion.
Why do OB-GYN claims get denied so often?
Most OB-GYN denials come from global-package errors: billing antepartum visits separately when they are bundled into 59400 or 59510, or using the wrong split-bill code after a transfer of care. Other frequent causes are repeat ultrasounds without documented medical necessity, missing modifiers on gyn procedures done during the global period, and unverified maternity benefits.
When should an OB practice split-bill antepartum visits instead of using the global code?
Split-bill when you do not provide the complete package, typically because the patient transferred in or out of your care, changed insurance mid-pregnancy, or moved away. Use 59425 for 4-6 antepartum visits, 59426 for 7 or more, and standard E/M codes for 1-3 visits, then bill delivery-only or postpartum-only codes as applicable.
Can OB-GYN practices bill for problem visits during the global maternity period?
Yes, if the visit addresses a problem unrelated to routine pregnancy care, such as a UTI, flu, or an injury, it can be billed separately with the appropriate E/M code and diagnosis. Routine antepartum visits are included in the global package and cannot be unbundled. Clear documentation linking the visit to the separate condition is what gets these claims paid.

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