OB/GYN · Global OB codes retire Jan 1, 2027. Crosswalk, payer status & readiness checklist. Read the guide
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130 GUIDELINES · ALL 50 STATES, DC AND PUERTO RICO · REVIEWED WEEKLY

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Choose your state, the payer on the patient's card, and what you're billing. Every guideline shows its official source and the date we last checked it.

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Global OB codes retire on January 1, 2027. Each state and payer page shows where that payer stands: final rules, announced, or no notice yet.

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OB/GYN billing & coding guidelines

130 guidelines
Code Twin Delivery
MODIFIERS CODING MATERNITY CARE

OB/GYN Billing & Coding Alert - How to Accurately Code Twin...

Discover essential strategies for accurately coding twin delivery claims in OBGYN billing. This guide offers insights...

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Tubal Ligation Claims
GYN SURGERY CODING OB

OB/GYN Billing & Coding Alert - Tubal Ligation Claims: Here’s...

Discover why some payers may resist approving CPT code +58661 for tubal ligation claims. Learn about common issues, payer...

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Coding For Twin Pregnancies
ULTRASOUND MODIFIERS CODING

OB/GYN Billing & Coding Alert - Code NSTs and BPPs for Twin Pregnancies

Discover expert tips for accurately coding NSTs and BPPs in twin pregnancies. Our OBGYN billing & coding guide ensures...

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Switches Insurance Prior to Delivery
GLOBAL OB PAYER POLICY CODING

OB/GYN Billing & Coding Alert - Prevent Mistakes When a Pregnant...

In this case, it is clear that complete care has been provided by a single provider or group practice, making them...

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returning pap smear
CODING MEDICAL CODING CPT

OB/GYN Billing & Coding Alert - Returning for a Repeat Pap Smear

When a patient returns due to abnormal Pap smear results or insufficient cell samples, it's essential to report the...

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Billing For Pap Smear
PAYER POLICY CODING MEDICAL CODING

OB/GYN Billing & Coding Alert - Billing for Pap Smear

Physcians are often confused when it comes to billing pap smears. Finding the correct CPT code for pap smear isn’t easy.

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annual exam report
GLOBAL OB PAYER POLICY CODING

OB/GYN Billing & Coding Alert - How to Report Annual Exams for...

To professionally and economically optimize the financial performance of your ob-gyn practice, it’s imperative to...

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FAQS Expense Code
CODING MEDICAL CODING CPT

OB/GYN Billing & Coding Alert - 5 Must-Know FAQs for +99459 Expense Code

In 2024, CPT code +99459 was introduced as an add-on for pelvic examinations to be used alongside new and established...

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Modifier 52
MODIFIERS CODING MATERNITY CARE

OBGYN Billing & Coding Alert - Modifier 52 For Incomplete or...

How should we report a situation where a physician was not available on time, but the patient’s husband delivered the...

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OB/GYN Billing & Coding Guidelines
PAYER POLICY CODING RCM

OBGYN Billing & Coding Thorough Guidelines. Make your billing...

Numerous practices have encountered difficulties with OB/GYN billing and coding due to the constant changes in CPT codes...

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State Coverage

Medicaid maternity rules, state by state

Medicaid covers a large share of births in the US, and no two state programs bill maternity the same way. Some pay a global package. Some refuse it entirely. We publish the rules for each state we bill into.

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