All claims for doula services must incorporate the diagnosis code Z32.2 (encounter for childbirth instruction) to be eligible for payment consideration. Certified doulas meeting the eligibility criteria should submit billing using the relevant CPT code(s), accompanied by modifier -HD. Additionally, apply modifiers –U7 and/or -22 as applicable, based on the service(s) provided.
59409 - CPT® Code in category: Vaginal delivery only (with or without episiotomy and/or forceps)
The diagnosis code for doula services would typically be related to the specific medical condition or situation for which the doula services are being provided. Doula services are often associated with support during childbirth, so the diagnosis code would depend on the medical circumstances of the individual receiving the services.
