News and Announcements
UHC Announces Policy for 2027 Maternity Coding details here
Aligning with the CMS final rule, beginning January 1, 2027:
UHC will no longer use the global codes beginning January 1, and plans to adopt the AMA coding/reimbursement framework using E&M codes for prenatal and postpartum with new codes for labor management and delivery codes.
Pregnancies spanning the 2026-2027 transition period should be reported as follows for claims to be considered with reimbursement:
• Services rendered on or before Dec. 31, 2026, should be reported in accordance with CPT® 2026 guidelines, including CPT® 59425, 59426, or applicable E/M services.
• Services rendered on or after Jan. 1, 2027, should be reported using the appropriate E/M code. Antepartum-only global obstetric CPT® codes will no longer apply to services rendered in 2027 and beyond.
• Antepartum and Postpartum services should be reported with the appropriate E/M code, modifier TH, and the appropriate obstetrical primary diagnosis.
• Dipstick urinalysis services performed during the antepartum period will not be considered for separate reimbursement
Cigna Announces Policy for 2027 Maternity Coding click here for details
Aligning with the CMS final rule, beginning January 1, 2027:
Cigna will no longer use the global codes beginning January 1, and plans to adopt the AMA coding/reimbursement framework using E&M codes for prenatal and postpartum with new codes for labor management and delivery codes.
Pregnancies that span both 2026 and 2027, Cigna will issue transition guidance after the final rule is published.
Major Changes in Maternity Services Codes for 2027
MetroCare will present lunchtime webinars to preview these specific changes in August and September in lunchtime programs as well as address in our overall 2027 three hour coding updates presentations this fall.
Nov 13: 9 AM New 2027 Maternity Coding (3 hrs) click here
Video of 2027 Changes in Maternity Services Webinar click here
UHC Medicare Advantage Extended the Grace Period for Required PCP Referral for Specialist Services. No new date given for claims impacts.
Upcoming Specialty Coding Topics: click here to RSVP
LUNCHES with Karen Nov 11 and 18 E&M Practice with New Maternity codes for 2027
Nov 6: 9 AM Nervous System 2027(new)
1 PM SDOH Changes (new)
Nov 13: 9 AM NEW 2027 OBGYN Coding
1 PM ENT and Plastics (repeat)
CPT UPDATES FOR 2027 FOUR SESSIONS TO CHOOSE FROM:
THURSDAY DEC 10 9 AM or 1 PM
TUESDAY DEC 15 9 AM
THURSDAY DEC 17 9 AM
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PAYER AND MANAGEMENT INFORMATION click image for access
