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BT2026125: IHCP recognizes maternity procedure code changes, effective Jan. 1, 2027
Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Jul 28, 2026
Summary
Effective January 1, 2027, the American Medical Association is replacing traditional global obstetrical bundles with separate CPT codes for distinct maternity services (prenatal care, labor management, labor/delivery, and postpartum care). IHCP will recognize these new codes, representing a shift from bundled to unbundled billing. Additional policy guidance from IHCP is forthcoming.
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What to do
by Dec 31, 2026 · 5 steps
01Billing team must monitor IHCP website (in.gov/medicaid/providers) and email notifications for detailed guidance on new maternity CPT codes and updated reimbursement policies.
02Update billing software, encounter forms, and provider education materials to reflect the transition from global bundles to separated maternity service codes.
03Coordinate with OB-GYN providers to ensure documentation and billing align with new code structure.
04Claims submitted with old global codes after January 1, 2027 may be denied or require correction.
05Subscribe to IHCP email notifications immediately to receive future bulletins on this topic.
Original notice
BT2026125: IHCP recognizes maternity procedure code changes, effective Jan. 1, 2027
in.gov · Always check the source before changing claims.