130 GUIDELINES · ALL 50 STATES, DC AND PUERTO RICO · REVIEWED WEEKLY
Find the OB/GYN billing rule for your
state and payer
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 - New ACOG Guidance: Revised...
For nearly a century, prenatal care in the United States has followed a one-size-fits-all approach—12 to 14 in-person...
Read more
OB/GYN Billing & Coding Alert - Lesion Incision and Removal
Lesion incision and removal is a routine yet nuanced procedure within OB/GYN, often involving cervical polyps, vulvar...
Read more
OB/GYN Billing & Coding Alert - Report Complication Visits...
When evaluating two potential coding options, it’s important to factor in RVUs. Consider how you accounted for the...
Read more
OB/GYN Billing & Coding Alert - OB/GYN Scenarios Reveal Coding Answers
Accurate OBGYN coding is essential for proper reimbursement and compliance but often comes with complex scenarios and...
Read more
OB/GYN Billing & Coding Alert - Report Surgical Complication...
Did you know that you can report complication visits outside the standard global OB package? Many practices need to look...
Read more
OB/GYN Billing & Coding Alert - Billing Infertility Claims?...
When it comes to billing for infertility-related services, it's essential to proceed with caution, mainly when coding for...
Read more
OB/GYN Billing & Coding Alert - How to Code Twin Delivery Ultrasounds
Accurately reporting ultrasounds for multiple-gestation pregnancies is essential for proper reimbursement and seamless...
Read more
OB/GYN Billing & Coding Alert - 2 Tips Clarify How to Code Ovarian Cysts
Let’s address a common challenge in medical billing: coding for the removal, aspiration, or drainage of ovarian cysts. If...
Read more
OB/GYN Billing & Coding Alert - Your Inpatient Care Coding
Over the past year, you’ve used an updated set of codes to document hospital admission, observation care, and same-day...
Read more
OB/GYN Billing & Coding Alert - Modifier 22 in OBGYN: When and...
Appending modifier 22 (Increased Procedural Services) may seem straightforward, but that doesn’t necessarily guarantee...
Read more
OB/GYN Billing & Coding Alert - Start the Global OB Package
With the growing number of new coders, refreshing your knowledge on when to begin the global obstetric package can help...
Read more
OB/GYN Billing & Coding Alert - Following These Ultrasound...
Test your expertise with a difficult two-part example. Building on the article from Ob-Gyn Coding Alert (Volume 26, Issue...
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.
Browse by national payer
All payers: commercial, Blues, Medicaid plans →Can't find your answer?
Ask a COBGC-certified OB/GYN coder. We reply within one business day and add the answer to the library.
Three ways to reach the OB/GYN desk
Most practices start with the free audit. But if you just have a question about a code or a denial, ask it — you don't need the form.
- An AAPC-certified biller and coder reviews it — not a sales rep
- You hear back within one business day
- No contract, no obligation, nothing to cancel
Let's Get in Touch
Please fill up the form, one of our AAPC certified medical biller and coder will reach out to you.
The blog
Longer pieces on running an OB/GYN practice — revenue cycle strategy, staffing, and what the numbers should look like.
Read the blog →Audit one pregnancy
Send one delivered patient, start to finish. A certified coder walks all forty weeks and tells you what each phase left behind.
Request the audit →