Billing for pregnancy termination or delivery at 20+ weeks gestational age
Date postedMarch 1, 2020
Starting at 20 weeks 0 days, the appropriate maternity care and delivery code (594XX) with the relevant diagnosis (e.g. O36.4XX_ maternal care for intrauterine death) is billed for pregnancy terminations (eg, D&E) and delivery. If applicable, you could also report 76988-26 for ultrasound guidance, but this is often denied in connection with a delivery code. Furthermore, if applicable, 59200 Insertion of cervical dilator (eg, laminaria, prostaglandin) can only be billed if performed more than 24 hours before the delivery date (ie, different dates of service); if the two procedures happen on the same date of service, however, then 59200 is considered part of the delivery code and cannot be billed separately.