59426 Antepartum care only
Also known as: antepartum care complex, high-risk antepartum care, antepartum care 7 or more visits, prenatal care extended
Antepartum care with extended complexity including frequent visits, high-risk monitoring, or specialized care without delivery component.
In Plain Language
pregnancy care with more frequent doctor visits
Clinical Context
Used for high-risk pregnancies requiring intensive antepartum management (pregestational diabetes, hypertension, previous adverse outcomes).
RVU Breakdown
| Work RVU | 14.30 |
| Total RVU | 14.30 |
Est. Medicare Payment
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 14.30, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59426?
CPT 59426 (Antepartum care only) is a Surgery code. Antepartum care with extended complexity including frequent visits, high-risk monitoring, or specialized care without delivery component.
What is the wRVU value for CPT 59426?
The work RVU for CPT 59426 is 14.30. This code is primarily used by Obstetrics and Gynecology, Maternal Fetal Medicine.
When is CPT 59426 used?
Used for high-risk pregnancies requiring intensive antepartum management (pregestational diabetes, hypertension, previous adverse outcomes).
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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.