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The CPT® Code 59414 refers to the procedure of delivering the placenta as a separate procedure. This specific coding is utilized when the physician is responsible solely for the delivery of the placenta, which occurs after a vaginal delivery that has been performed in a different setting or by another physician. During this procedure, the physician carefully extracts the placenta from the uterus, ensuring that it is done safely and effectively. Following the delivery, both the placenta and the attached umbilical cord are thoroughly inspected for any anomalies or irregularities that may indicate complications. Additionally, the physician examines the uterus to confirm that all placental tissue has been successfully removed, which is crucial for preventing potential complications such as postpartum hemorrhage or infection. This procedure is essential in ensuring the health and safety of the patient following childbirth.
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The delivery of the placenta as a separate procedure, coded as CPT® 59414, is indicated in specific circumstances following a vaginal delivery. The primary indications for this procedure include:
The procedure for the delivery of the placenta as a separate intervention involves several critical steps, which are outlined as follows:
After the delivery of the placenta, the physician will monitor the patient for any signs of complications. This includes observing for excessive bleeding, signs of infection, or any other abnormal symptoms. The patient may be advised to rest and may require follow-up care to ensure proper recovery. It is also important for the physician to document the procedure thoroughly, including any findings during the inspection of the placenta and uterus, to maintain accurate medical records and support any necessary follow-up interventions.
| Short Descr | DELIVER PLACENTA | Medium Descr | DELIVERY PLACENTA SEPARATE PROCEDURE | Long Descr | Delivery of placenta (separate procedure) | Status Code | Active Code | Global Days | MMM - Maternity Code | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 137 - Other procedures to assist delivery |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | TH | Obstetrical treatment/services, prenatal or postpartum | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period |
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| 1990-01-01 | Added | First appearance in code book in 1990. |
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