The CPT codes for C-section (cesarean delivery) can be divided into four different chapters. The first chapter will describe the CPT codes for anesthesia during cesarean delivery, then we’ll cover the CPT codes for cesarean delivery and associated procedures, an additional procedure, and lastly the CPT codes for comprehensive obstetric care that include C-section
1. CPT Codes for Anesthesia for Cesarean Delivery
Four CPT codes describe anesthesia procedures for cesarean delivery. These codes are used when a healthcare provider administers anesthesia to a patient undergoing a cesarean section.
1.1 CPT Code 01961
Lay-term: CPT code 01961 is used when anesthesia is administered solely for a cesarean delivery.
Long description: Anesthesia for cesarean delivery only.
Short description: Anesthesia for C-section.
1.2 CPT Code 01963
Lay-term: CPT code 01963 is used when anesthesia is administered for a cesarean hysterectomy without any prior labor analgesia/anesthesia care.
Long description: Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care.
Short description: Anesthesia for C-section hysterectomy without labor analgesia.
1.3 CPT Code 01968
Lay-term: CPT code 01968 is used when anesthesia is administered for a cesarean delivery following neuraxial labor analgesia/anesthesia.
Long description: Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure).
Short description: Anesthesia for C-section after neuraxial labor analgesia.
1.4 CPT Code 01969
Lay-term: CPT code 01969 is used when anesthesia is administered for a cesarean hysterectomy following neuraxial labor analgesia/anesthesia.
Long description: Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure).
Short description: Anesthesia for C-section hysterectomy after neuraxial labor analgesia.
2. CPT Codes for Cesarean Delivery and Associated Procedures
Four CPT codes describe cesarean delivery and associated procedures. These codes are used when a healthcare provider performs a cesarean section and any related procedures.
2.1 CPT Code 59510
Lay-term: CPT code 59510 is used when a provider performs routine obstetric care including antepartum care, cesarean delivery, and postpartum care.
Long description: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care.
Short description: Routine obstetric care with C-section.
2.2 CPT Code 59514
Lay-term: CPT code 59514 is used when a provider performs a cesarean delivery only.
Long description: Cesarean delivery only.
Short description: C-section only.
2.3 CPT Code 59515
Lay-term: CPT code 59515 is used when a provider performs a cesarean delivery only, including postpartum care.
Long description: Cesarean delivery only including postpartum care.
Short description: C-section with postpartum care.
2.4 CPT Code 59525
Lay-term: CPT code 59525 is used when a provider performs a subtotal or total hysterectomy after a cesarean delivery.
Long description: Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure).
Short description: Hysterectomy after C-section.
3. CPT Code for Additional Procedures Related to C-Section
There is one CPT code that describes additional procedures related to a cesarean section. This code is used when a healthcare provider performs a ligation or transection of the fallopian tube(s) at the time of cesarean delivery or intra-abdominal surgery.
3.1 CPT Code 58611
Lay-term: CPT code 58611 is used when a provider performs a ligation or transection of fallopian tube(s) during a cesarean delivery or intra-abdominal surgery.
Long description: Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not separately reportable).
Short description: Fallopian tube ligation or transection during C-section or intra-abdominal surgery.
4. CPT Codes for Comprehensive Obstetric Care Including C-Section
Three CPT codes describe comprehensive obstetric care including a cesarean section. These codes are used when a healthcare provider performs comprehensive obstetric care, including a cesarean section, and any related procedures.
4.1 CPT Code 59618
Lay-term: CPT code 59618 is used when a provider performs routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following an attempted vaginal delivery after a previous cesarean delivery.
Long description: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery.
Short description: Comprehensive obstetric care with C-section after attempted vaginal delivery.
4.2 CPT Code 59620
Lay-term: CPT code 59620 is used when a provider performs a cesarean delivery only, following an attempted vaginal delivery after a previous cesarean delivery.
Long description: Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery.
Short description: C-section after attempted vaginal delivery.
4.3 CPT Code 59622
Lay-term: CPT code 59622 is used when a provider performs a cesarean delivery only, following an attempted vaginal delivery after a previous cesarean delivery, including postpartum care.
Long description: Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery including postpartum care.
Short description: C-section with postpartum care after attempted vaginal delivery.
