SJH Procedures - Obstetrics Service New Name Old Name CPT Code Service CESAREAN SECTION IN THE OPERATING ROOM CESAREAN SECTION IN THE OR *59514 Cesarean delivery only; Obstetrics 59515 Cesarean delivery only; including postpartum care Obstetrics *59620 Cesarean delivery only, following attempted vaginal delivery Obstetrics after previous cesarean delivery; CESAREAN SECTION REPEAT W SALPINGIAN INVERSION Obstetrics CESAREAN SECTION W SALPINGIAN INVERSION Obstetrics CESAREAN SECTION, PRIMARY CESAREAN SECTION PRIMARY *59514 Cesarean delivery only; Obstetrics CESAREAN SECTION, REPEAT CESAREAN SECTION REPEAT *59514 Cesarean delivery only; Obstetrics *59620 Cesarean delivery only, following attempted vaginal delivery Obstetrics after previous cesarean delivery; DELIVERY, COMPLEX, VAGINAL, ABNORMAL HEAD PRESENTATION COMPLEX VAGINAL DELIVERY OF ABNORMAL PRESENTATION WITH POSS 59409 Vaginal delivery only (with or without and/or Obstetrics C SECTION forceps); 59410 Vaginal delivery only (with or without episiotomy and/or Obstetrics forceps); including postpartum care 59412 External cephalic version, with or without tocolysis Obstetrics *59514 Cesarean delivery only; Obstetrics 59515 Cesarean delivery only; including postpartum care Obstetrics DELIVERY, COMPLEX, VAGINAL, MULTIPLE GESTATION COMPLEX VAGINAL DELIVERY MULTIPLE GESTATION WITH POSS C 59409 Vaginal delivery only (with or without episiotomy and/or Obstetrics SECTION forceps); 59410 Vaginal delivery only (with or without episiotomy and/or Obstetrics forceps); including postpartum care DELIVERY, COMPLEX, VAGINAL, USING VACUUM COMPLEX VAGINAL DELIVERY VACUUM WITH POSS C SECTION 59409 Vaginal delivery only (with or without episiotomy and/or Obstetrics forceps); 59410 Vaginal delivery only (with or without episiotomy and/or Obstetrics forceps); including postpartum care *59514 Cesarean delivery only; Obstetrics 59515 Cesarean delivery only; including postpartum care Obstetrics , FOLLOWING DELIVERY D&C AFTER DELIVERY 59160 Curettage, postpartum Obstetrics EXAM UNDER , , WITH PACKING OR BALLOON EUA POST VAGINAL DELIVERY VAGINAL BLEEDING POSS INSERTION VAG 57410 under anesthesia (other than local) Obstetrics TAMPONADE INSERTION IF INDICATED, AFTER VAGINAL DELIVERY, FOR PACKING/BALLOON POSTPARTUM HEMORRHAGE 59899 Unlisted procedure, maternity care and delivery Obstetrics , ABDOMINAL, AFTER DELIVERY ABDOMINAL HYSTERECTOMY POST DELIVERY *58150 Total abdominal hysterectomy (corpus and ), with or Obstetrics without removal of tube(s), with or without removal of (s); *59525 Subtotal or total hysterectomy after cesarean delivery (List Obstetrics separately in addition to code for primary procedure) REMOVAL, CERCLAGE MATERIAL, CERVIX REMOVAL CERVICAL CERCLAGE 59871 Removal of cerclage suture under anesthesia (other than local) Obstetrics REMOVAL, RETAINED PLACENTA, WITH DILATION AND CURETTAGE OF REMOVAL RETAINED PLACENTA POSS D&C 59160 Curettage, postpartum Obstetrics IF INDICATED 59414 Delivery of placenta (separate procedure) Obstetrics REPAIR, LACERATION, CERVIX OR VAGINA REPAIR CERVICAL/DEEP VAGINAL LACERATION POST VAGINAL DELIVERY 57200 Colporrhaphy, suture of injury of vagina (nonobstetrical) Obstetrics 57210 Colpoperineorrhaphy, suture of injury of vagina and/or Obstetrics perineum (nonobstetrical)

Page 1 of 2 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Obstetrics Service New Name Old Name CPT Code Service REPAIR, LACERATION, CERVIX OR VAGINA REPAIR CERVICAL/DEEP VAGINAL LACERATION POST VAGINAL DELIVERY 57720 Trachelorrhaphy, plastic repair of uterine cervix, vaginal Obstetrics approach

Page 2 of 2 * Indicates Inpatient only CPT Code/Procedure