How to Bill CPT 76811 for OB/GYN and Maternity Services

When to Use CPT Code 76811

CPT 76811 is used for obstetric or gynecologic services, including prenatal care, delivery, postpartum care, and diagnostic procedures.

• •Service type: OB/GYN services
• •Billing model: Global, partial, or procedural
• •Who bills it: Obstetricians, gynecologists, and qualified providers

Common scenarios:

• •Routine prenatal care
• •Vaginal or cesarean delivery
• •Postpartum follow-up
• •Gynecologic diagnostic or therapeutic procedures

Insurance Verification Tips for CPT 76811

1. •Confirm global vs split billing rules.
2. •Verify maternity benefit eligibility.
3. •Track number of prenatal visits.
4. •Apply modifiers when care is transferred.

Example Case of CPT 76811

An OB/GYN provider delivers obstetric or gynecologic care according to clinical guidelines.
The service is documented and billed as one unit of CPT 76811.