Patient had a vaginal delivery, 59409, and had uterine atony after the baby was delivered. Doctor performed fundal pressure and intrauterine exploration. The placenta had been delivered and then doctor gave patient Cytotec rectally twice as well as pitocin through her IV and hemabate intramuscularly.

Is the treatment for the postpartum hemorrhage included in the vaginal delivery or should that be billed separately? Which leads me to the only CPT I can find for postpartum hemorrhage is 59160 but curettage was not done.

TIA
Kam