What Is the Appropriate CPT Code for a C-Section (Cesarean Delivery)?

When it comes to medical billing, using the correct CPT (Current Procedural Terminology) code is crucial for ensuring proper reimbursement. For obstetric procedures like a C-section, accuracy in coding helps healthcare providers avoid claim denials and streamline the billing process.

As of 2025, the appropriate CPT code for a cesarean delivery is 59510–59622, depending on whether the C-section is planned, performed after labor, or follows a failed vaginal delivery attempt.

 Key CPT Codes for C-Section

1. 59510 – Routine obstetric care, including antepartum care, cesarean delivery, and postpartum care.
2. 59514 – Cesarean delivery only.
3. 59515 – Cesarean delivery only, including postpartum care.
4. 59618 – Vaginal delivery attempted, converted to cesarean, including antepartum and postpartum care.
5. 59620 – Cesarean delivery only, following a failed vaginal attempt.
6. 59622 – Cesarean delivery with postpartum care after attempted vaginal delivery.

For example, if the patient had a scheduled C-section without labor, 59510 is typically used. But if a vaginal delivery was attempted and later converted to C-section, 59618 or 59620 may be more appropriate.

For comparison with other surgical CPT codes, you can also check our guide on the CPT code for laparoscopic appendectomy.

 Why Accurate Coding Matters

Accurate CPT coding ensures:

•  Correct reimbursement from insurance companies
•  Reduced risk of claim denials
• Compliance with payer documentation requirements
•  Smooth revenue cycle management

That’s why many practices partner with experts like EZ Settle Solutions Services to handle complex medical coding and billing.

 Which Code Should You Use?

The right CPT code depends on several factors:

• Whether the C-section was planned or emergency
• If the patient attempted vaginal delivery first
• Whether the billing includes antepartum and postpartum care

Since each payer may have specific requirements, it’s best to ensure your documentation is thorough. For full-cycle support, our Medical Billing Services can help your practice stay compliant while maximizing reimbursements.

For the official CPT coding guidelines, you can visit the American Medical Association (AMA).

 Final Thoughts

Correctly applying CPT codes for C-section deliveries is essential for smooth claim processing and timely reimbursement. By documenting each step of patient care and choosing the correct code, providers can avoid denials and ensure compliance. Partnering with a trusted billing expert like EZ Settle Solutions makes the process even more efficient.