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.
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.
See the 2027 trackerOB/GYN billing & coding guidelines
130 guidelines
OB/GYN Billing & Coding Alert - Aetna Guidance for 2027 Prenatal Claims
Aetna has announced interim billing guidelines for those providers who know the mothers they treat are expecting in 2027,...
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OB/GYN Billing & Coding Alert - Nebraska Medicaid 2027 Maternity...
An OBGYN practice can follow the general CPT transition guidance and still mishandle a Nebraska Medicaid claim if it...
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OB/GYN Billing & Coding Alert - OB/GYN Practices Must Change...
Effective January 1, 2027, traditional global maternity codes will be deleted and replaced with phase-specific reporting...
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OB/GYN Billing & Coding Alert - AMA’s New Maternity Care Billing Rules
Maternity care in the United States has evolved significantly over the past few decades, but the coding system used to...
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OB/GYN Billing & Coding Alert - Unbundled OB Billing: State and...
In recent years, maternity care billing has undergone a fundamental transformation. Where obstetric practices once relied...
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OB/GYN Billing & Coding Alert - New ObGyn Codes, Deletions, and...
With the arrival of January 1, your OB/GYN practice will face several challenges related to the 2025 CPT® updates. These...
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OB/GYN Billing & Coding Alert - Aetna Better Health of Florida...
Aetna Better Health® of Florida has shared updated, agency-adapted guidance for two HEDIS® MY 2026 measures: Prenatal...
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OB/GYN Billing & Coding Alert - Simply / CHA Multiple Delivery Billing
Billing for multiple births with Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (CHA) follows a...
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OB/GYN Billing & Coding Alert - Simply Healthcare & Clear Health...
In Florida, Simply Healthcare Plans, Inc. (Simply) covers members through two programs: Statewide Medicaid Managed Care...
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OB/GYN Billing & Coding Alert - Billing Maternity Care That...
Maternity billing gets more complicated when prenatal care starts in 2026 and continues into 2027.
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OB/GYN Billing & Coding Alert - FY 2027 OB/GYN ICD-10-CM Updates
Effective October 1, 2026, the FY 2027 ICD-10-CM update introduced more specific codes for ectopic pregnancy and...
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OB/GYN Billing & Coding Alert - CPT 58561: Coding Hysteroscopic...
Coding fibroid removal requires a close look at the operative report. The report should explain how the surgery was...
Read moreMedicaid 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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