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Cigna Announces Policy for 2027 Maternity Coding    click here for details

Pending the CMS final rule, beginning January 1, 2027:

If CMS finalizes the proposed new G codes, Cigna plans to continue the current practice of global billing/reimbursemt WITH the addition of these 15 new codes on Jan 1

If the G codes are not approved, Cigna will no longer use the global codes beginning January 1, and plans to adopt the AMA coding/reimbursement frameworlk 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

Here is a link to AMA article explaining the changes:    AMA article here
List of NEW/REVISED/DELETED codes for maternity care:  Maternity Codes Changes PDF here
 
******There is actually a second coding option in the proposed rule for 2027 proposed by CMS of only using some new G codes otherwise keeping the global billing in place.. ACOG has made their position clear- they are against the second option  Please notice that we have scheduled the full ObGyn class AFTER the final rule should be announced so that we should have an up to date class.

MGMA has five specific recommendations for ObGyn practices at this time. 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 OCT 14 and 21: Official Coding Guidelines 2027 Updates  

Oct 23: 9 AM Cardiology (repeat)
             1 PM GI 
Oct 28: 9 AM Preventive Services (repeat)
             1 PM External Injuries 2027(new)
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   
              
 

SVMIC MONTHLY LUNCHTIME PRACTICE MANAGEMENT SESSIONS
Sep 24: Navigating the No Surprises Act: Ensuring Compliance and Transparency
Oct 22: HR Do’s & Don’ts
 
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