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This policy addresses reimbursement for global and non-global obstetric (OB) services. Global OB care includes antepartum care, delivery services, and. postpartum care. A physician, group practice or clinic that manages the patient's. care throughout the entire antepartum, delivery and postpartum periods is. providing global OB care.
The intent of global billing (CPT-4 codes 59400, 59510, 59610 and 59618) is to offer a convenient means of billing for providers who render total obstetrical care to a woman throughout her pregnancy. Examples: CMS-1500 for a sample claim showing how to bill CPT-4 code 59510. Providers choosing the global method cannot separately bill per-visit antepartum (HCPCS code Z1034) or postpartum (code Z1038) office visits except for the Medi-Cal initial comprehensive pregnancy-related visit (code Z1032).