Postpartum Care Only

This code covers the follow-up care after a birth when that care is billed on its own rather than inside a full maternity package. It typically means the office visits in the weeks after delivery — checking healing, bleeding, blood pressure, mood, contraception and feeding — provided by a practice that did not bill for the delivery itself.

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What it is

Most obstetric billing folds postpartum visits into one global package alongside prenatal care and the delivery. This code exists for the cases where that does not happen: the patient moved, changed practices after the birth, delivered while travelling, or the delivery was billed by someone else. What is being paid for here is the after-care on its own — the office visits that happen once mother and baby are home.

Why it is done

  • To check that the perineum or a cesarean incision is healing and that bleeding is settling as expected
  • To measure blood pressure, which can rise dangerously in the weeks after a birth even when the pregnancy was uncomplicated
  • To screen for postpartum depression and ask about how the adjustment is going, not only how the body is doing
  • To discuss contraception, return to normal activity, and any feeding difficulties

What to expect

A postpartum check is an office appointment, not a procedure. The provider asks about bleeding, pain, mood and sleep, takes vital signs, and examines the abdomen and perineum or the surgical scar depending on how the birth went. Providers commonly advise waiting several weeks before resuming sexual activity and give individual guidance on activity. Some practices schedule an early contact in the first couple of weeks and a fuller visit later. Bleeding of some degree for up to about six weeks is normal, and breast tenderness, swelling and constipation are common in this period.

Questions worth asking

  • Is this visit being billed separately because my delivery was billed by a different practice? If the same practice did both, it may belong inside a global package instead.
  • How many visits does this code cover, and what happens if I need more than that?
  • If a specific problem — a wound infection, high blood pressure, a depression diagnosis — is treated at the visit, is that billed on top?
  • Does my plan treat postpartum care as part of the maternity benefit, with the deductible already met by the delivery, or as a fresh office visit?

What Postpartum Care Only costs by state

Postpartum Care Only prices at hospitals

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Sources

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