Care after delivery

What is CPT Code 59430?

Postpartum care only — the postpartum care component billed separately when it was not included in the antepartum or global delivery package. Applies when a different provider handles the postpartum period than delivered the baby.

The Medicare reimbursement rate shown above is the amount the federal government has determined is a reasonable payment for this service. Hospitals and providers that participate in Medicare have agreed to accept these rates from Medicare patients.

Who typically bills this:OB/GYN or midwife handling postpartum care

Common Billing Errors for CPT 59430

• !Billed by the same physician who also billed the global delivery package (59400/59510) — it is already included
• !Multiple postpartum office visits billed separately within the included postpartum period

Red Flags on Your Bill

Negotiation Tips for CPT 59430

1. 1If the delivering provider also handles the 6-week postpartum visit, 59430 should not appear — it is bundled in the global code
2. 259430 is only appropriate if care was transferred to a different provider after delivery

Codes That Often Appear With This One

These CPT codes commonly appear on the same bill. Review each one to spot potential bundling errors or duplicate charges.

Found CPT 59430 on Your Bill?

If you see CPT code 59430 on a hospital or medical bill, compare the charged amount to the Medicare rate above. If your bill shows a significantly higher charge, you may have grounds to negotiate.

1. Note the amount charged for CPT 59430 on your itemized bill
2. Compare it to the Medicare rate above — calculate the markup
3. Call the billing department and use the Medicare rate as your anchor:“I see CPT code 59430 billed at [amount]. The Medicare rate for this procedure is $264.32. I'd like to discuss a fair adjustment.”