Birthing Centers CPT LIST FROM BCBS

If all of the member's obstetric care is performed through the birthing center, including antepartum and postpartum care, then the total care vaginal delivery (59400 SB) should be billed. In addition, RhoGam (J2790) and 76805 for one or more ultrasounds will be eligible for reimbursement.

If the member has been transferred from the birthing center prior to delivery, the CPT code reflecting such must be billed. If the member transfers to the birthing center prior to delivery, then the delivery only code or delivery with postpartum care code should be billed. If the member transfers to the birthing center after the birth, only the postpartum code should be billed.

Birthing centers are reimbursed with the following codes and/or modifiers.

• 59400 SB

• 59409 SB

• 59410 SB

• 59425 SB

• 59426 SB

• 59430 SB

• 76805

• J2790

• S4005 SB

• 99201-99205

• 99211-99215


No other global codes will be reimbursed.