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
Unbundled OB Billing in Mississippi
GLOBAL OB MEDICAID PAYER POLICY

OB/GYN Billing & Coding Alert - Unbundled OB Billing in Mississippi

In Mississippi, the way obstetric (OB) care is billed is changing fast. For years, most providers used the “global”...

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Bust 5 Adhesiolysis Coding Myths
GYN SURGERY MODIFIERS CODING

OB/GYN Billing & Coding Alert - Bust 5 Adhesiolysis Coding Myths

​​​​​​​Think lysis of adhesions is always bundled? Not so fast. In OBGYN coding, few services cause as much confusion...

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Ultrasound Billing Guidelines During Pregnancy
ULTRASOUND PAYER POLICY CODING

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

Pregnancy-related ultrasounds are a critical component of prenatal care, but their billing and reimbursement are governed...

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OB Global Billing Guidelines for California OBGYNS
GLOBAL OB MEDICAID PAYER POLICY

OB Global Billing. Guidelines for California OB/GYNS

Global billing for pregnancy is designed to simplify the process of charging for comprehensive obstetrical care...

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How to Capture Physicals and Birth Control Renewal
MODIFIERS PAYER POLICY CODING

OB/GYN Billing & Coding Alert - Capture Physicals and Birth...

Annual preventive physical exams often include birth control management, such as renewing contraceptive prescriptions....

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OBGYN CPT Codes Modifiers and Billing Tips
MODIFIERS CODING RCM

OB/GYN Billing & Coding Alert - OB/GYN CPT Codes, Modifiers, and...

OBGYN medical billing and coding require a high level of precision due to the broad scope of services, which range from...

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Colposcopy Coding Ensure Accurate Reporting
MODIFIERS CODING MEDICAL CODING

OB/GYN Billing & Coding Alert - Colposcopy Coding: Ensure...

When reporting colposcopy procedures, identifying the additional services your ob/gyn performed is critical to ensuring...

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Modifier 51 or 59 How to Know Which to Bill
GYN SURGERY MODIFIERS CODING

OB/GYN Billing & Coding Alert - Modifier 51 or 59 How to Know...

When billing for multiple surgical procedures performed during the same encounter, the correct use of modifiers is...

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Changes in Fertility Care Use After Benefit Implementation
PAYER POLICY CODING RCM

OB/GYN Billing & Coding Alert - Changes in Fertility Care Use...

Infertility is recognized as a disease with significant emotional and financial burdens. To improve access and reduce...

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OBGYN Coding Guidelines Billing for 3 Visits in 3 Days
PAYER POLICY CODING OB

OB/GYN Billing & Coding Alert - Billing for 3 Visits in 3 Days

Sometimes, a provider may choose to evaluate a new patient over multiple days rather than in a single visit. While...

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Surgical Modifiers in the Global Package
GYN SURGERY MODIFIERS CODING

OB/GYN Billing & Coding Alert - Surgical Modifiers in the Global Package

If you're confused about surgical modifiers and the global package, you're not alone! CMS guidelines (in Publication...

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Hysterectomy Coding Made Simple
GYN SURGERY CODING OB

OB/GYN Billing & Coding Alert - Hysterectomy Coding Made Simple

Don’t Overlook Common Add-Ons in Hysterectomy Procedures With nearly 600,000 hysterectomies performed annually in the...

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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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