Simplify OBGYN Medical Billing Services in 2025

It is already 2025 and managing OBGYN medical billing services has become even more challenging for you, especially with new rules, complex payer policies, and ever-changing coding guidelines. Your amateur in-house billing team can often feel overwhelmed with all the nuances of OBGYN billing. 

Fortunately, the reality is that managing billing for your OBGYN practice doesn’t have to be that complex. You can actually streamline a perfect OBGYN medical billing service by having a sound understanding of the global period and frequently used CPT codes in 2025. 

Know about the global period and frequently used CPT codes in 2025: 

Global period:  

• You need to know about the global period. It can be defined as the time when the extra care you give is already part of the main payment for a service. For your ob-gyn care, the global period for pregnancy covers everything: before, during, and after your patient’s delivery. For surgeries, the global period depends on the type of surgery. Always keep this in mind: the global period starts with the first visit after confirming the pregnancy and lasts through postpartum. It ends 42-56 days after a vaginal delivery and 90 days after a C-section. 
• You need to know that when you check a patient’s history and do a physical exam before a major surgery, it is already included in the global package. You can’t bill for those separately because they are part of the whole care plan for the surgery. It’s like getting everything bundled together—you do not charge for each piece individually! 
• You can bill separately if you are the one handling surgical clearance for a patient with issues like high blood pressure or heart problems. But usually, it is not you—it is another doctor who takes care of those clearances. 
• You should know that most hospital procedures come with a global period of either 10 or 90 days. During this time, you cannot bill separately for check-ups or follow-up care related to the procedure. You also need to use the right modifiers to explain what services you gave during this period. You should always use modifier 24 whenever you see a patient for an unrelated issue. This modifier always allows you to show that it is not a part of the global period. 

Frequently used CPT codes in OBGYN medical billing services in 2025:  

• You should use the 59400 code for regular pregnancy care in your OB-GYN center. This code lets you bill for all your check-ups, vaginal delivery (even if you use forceps or do an episiotomy), and postpartum care. You can consider this CPT code like an umbrella code as this covers everything during and after your patient’s delivery 
• You should always use the 59510 code when you are providing regular care for a pregnancy that includes check-ups, a C-section delivery, and postpartum care. This code is your go-to for handling everything from start to finish for moms who need a C-section. Make sure you use it right, so you get paid for all the care you provide! 
• Make sure you always assign the CPT code 59618 for care like patient check-ups, C-section, and postpartum care once you are done with a vaginal delivery following a past C-section. 
• You need to bill the global OB code when the same groups of doctors or healthcare professionals take care of everything during pregnancy. Do not use separate billing codes for each check-up related to pregnancy because everything is already included in the package! Keep it simple and use the global code! 

You should know that managing OBGYN medical billing services does not have to be this hard. If you’re feeling overwhelmed by the new rules, complex policies, and billing codes, it is time to consider outsourcing your OBGYN medical billing services. By doing so, you can focus more on your patients and leave the billing headaches to the experts. Let your billing partner handle the rest, while you enjoy the perfect financial state of your practice!