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59425 Antepartum care only

Surgery

Also known as: antepartum care only, prenatal care only, antepartum care 4-6 visits, prenatal care partial

Antepartum care only package, including office visits for routine prenatal evaluation without intrapartum or postpartum care.

In Plain Language

pregnancy care without delivery

Clinical Context

Used when another provider will manage delivery or when patient presents late for prenatal care; includes routine visits only.

RVU Breakdown

Work RVU7.80
Total RVU7.80

Est. Medicare Payment

$260.52

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 7.80, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Obstetrics and Gynecology

Frequently Asked Questions

What is CPT code 59425?

CPT 59425 (Antepartum care only) is a Surgery code. Antepartum care only package, including office visits for routine prenatal evaluation without intrapartum or postpartum care.

What is the wRVU value for CPT 59425?

The work RVU for CPT 59425 is 7.80. This code is primarily used by Obstetrics and Gynecology.

When is CPT 59425 used?

Used when another provider will manage delivery or when patient presents late for prenatal care; includes routine visits only.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.