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

MEDICAID PAYER POLICY MARYLAND

OB Billing & Coding Alert - Maryland Medicaid OB Billing Requirements

Unlike some other states, Maryland Medicaid does not cover global OB packages. Providers must bill prenatal visits,...

MEDICAID PAYER POLICY NEVADA

OB Billing & Coding Alert - Nevada Medicaid OB Billing Requirements

Obstetrical (OB) services under Nevada Medicaid follow both federal and state regulations that dictate how prenatal care,...

MEDICAID PAYER POLICY ARIZONA

OB Billing & Coding Alert - Arizona Medicaid OB Billing Requirements

Arizona Medicaid, administered through the Arizona Health Care Cost Containment System (AHCCCS), provides comprehensive...

MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Florida OBGYN Billing Guidelines

OBGYN billing and coding in Florida work differently from those in many other states. If you’re an OBGYN provider,...

GLOBAL OB MEDICAID PAYER POLICY

OB/GYN Billing & Coding Alert - CPT Coding for OB Care in Mississippi

Accurate obstetric coding is essential for appropriate reimbursement, compliance, and quality reporting in Mississippi....

MEDICAID PAYER POLICY MISSISSIPPI

OB/GYN Billing & Coding Alert - Mississippi OB/GYN Billing Guidelines

Accurate billing and coding are critical for OBGYN practices in Mississippi, where state-specific Medicaid rules and...

Why Payers Still Deny 58661 for Tubal Ligation After C-Section

GYN SURGERY PAYER POLICY CODING

OB/GYN Billing & Coding Alert - Why Payers Still Deny 58661 for...

When reviewing a tubal ligation claim, the first step is to identify which coding approach is appropriate and whether the...

MEDICAID MODIFIERS CODING

OB/GYN Billing & Coding Alert - Modifier TH

The Modifier “TH” is defined by the Centers for Medicare & Medicaid Services (CMS) as: “Obstetrical treatment/services,...

Florida Medicaid OB Billing and Coding Guidelines

MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Florida Medicaid OB Billing and...

Florida Medicaid reimburses obstetric care in three separate components: Prenatal care (H-codes) - Delivery services...

Coding Deliveries for Blue Cross Blue Shield of Mississippi

PAYER POLICY MISSISSIPPI CODING

OB/GYN Billing & Coding Alert - Coding Deliveries for Blue Cross...

The delivery indicator represents a combination of three elements: the labor type, the delivery method, and the number of...

Immunization Coding for Obstetrician-Gynecologists

PAYER POLICY CODING PRENATAL CARE

OB/GYN Billing & Coding Alert - Immunization Coding for...

Immunizations form an important part of comprehensive healthcare for women. Under the Patient Protection and Affordable...

CODING MATERNITY CARE OB

OB/GYN Billing & Coding Alert - Correct CPT® Code for Induction

When coding for procedures related to intrauterine fetal demise and induction, it’s important to evaluate the clinical...

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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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