130 GUIDELINES · ALL 50 STATES, DC AND PUERTO RICO · REVIEWED WEEKLY

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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

Coding Guideline for Normal First Pregnancy

PAYER POLICY CODING PRENATAL CARE

OB/GYN Billing & Coding Alert - Encounter for Supervision of...

ICD-10 code category Z34.0- is used to report routine prenatal supervision visits for a patient's first pregnancy when...

GLOBAL OB CODING PRENATAL CARE

OB/GYN Billing & Coding Alert - How to Report in Global OB Period

Denial and bundling are common problems faced by OBGYN clinics that routinely conduct urinalysis and urine pregnancy...

MEDICAID CODING ANTEPARTUM CARE

OB/GYN Billing & Coding Alert - Coding Guideline for H1000 and...

In OBGYN medical billing, the selection of accurate codes during pregnancy and childbirth is essential for proper...

Therapy in Pregnancy: Global or Non-Global Care

GLOBAL OB PAYER POLICY CODING

OB/GYN Billing & Coding Alert - Physical Therapy During...

Pregnancy-related pain is one of the most common reasons patients are referred to physical therapy. Conditions like low...

OB Incentive Program: Sunshine Health C-Section

MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Sunshine Health Introduces...

The new C-Section Birth Incentive program offered by Sunshine Health allows eligible obstetricians the chance to receive...

GYN SURGERY CODING MEDICAL CODING

OB/GYN Billing & Coding Alert - Laparoscopic Hysterectomy Coding...

ACOG often receives inquiries about coding differences for the laparoscopic hysterectomy procedures. This includes Total...

GYN SURGERY MODIFIERS CODING

OB/GYN Billing & Coding Alert - Coding for C-Section with...

Accurate coding is crucial for reducing denials and increasing revenue in obstetric billing. One such area of confusion...

CODING ANTEPARTUM CARE PRENATAL CARE

OB/GYN Billing & Coding Alert - Guide to Prenatal Supervision...

Use of correct ICD-10 code for routine prenatal visits is a important component for clean claims, payer compliance, and...

Obstetrical Ultrasound Coding Guidelines

ULTRASOUND CODING PRENATAL CARE

OB/GYN Billing & Coding Alert - Obstetric Ultrasound Coding...

Diagnostic radiology coding is often perceived as being based on straightforward elements such as the number of imaging...

MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Common Denial Reasons for...

Denials of Florida Medicaid OB claims are often concentrated around a small number of areas, primarily involving...

GYN SURGERY CODING MEDICAL CODING

OB/GYN Billing & Coding Alert - Hysteroscopy Coding Guide: CPT...

Hysteroscopy occupies a unique position in gynecological care.Hysteroscopy procedures offer both diagnostic and surgical...

MEDICAID MODIFIERS PAYER POLICY

Texas Medicaid OB Billing. (TMHP). What Are U1, U2, and U3 Modifiers

The services of obstetric care are a complex group with both clinical and billing needs in the antepartum, delivery and...

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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.

Texas → Florida → Mississippi → Maryland → Nevada → Arizona → Connecticut → All 52 states →

Browse by national payer

All payers: commercial, Blues, Medicaid plans →

Absolute Total Care2027: not yet reviewed8 guidelines Aetna2027: announced9 guidelines Aetna Better Health2027: not yet reviewed8 guidelines Aetna Better Health of Florida2027: not yet reviewed9 guidelines Aetna Better Health of Kentucky2027: not yet reviewed8 guidelines AHCCCS (Arizona Medicaid)2027: varies by state4 guidelines All other state Medicaid programs2027: varies by state9 guidelines Ambetter (Centene)2027: no notice yet8 guidelines AmeriHealth Caritas2027: not yet reviewed8 guidelines AmeriHealth Caritas New Hampshire2027: no notice yet9 guidelines AmeriHealth Caritas North Carolina2027: not yet reviewed8 guidelines Anthem / Elevance2027: announced8 guidelines

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