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Florida BlueCommercial · Billing Codes · Coding · FL · OB-GYN, Family Medicine, General PracticeHigh impact

Maternity Care Services Global CPT Code Changes

Effective date
Jan 1, 2027
Identified
Aug 26, 2026

Summary

Effective January 1, 2027, Florida Blue and Truli for Health are eliminating global obstetric bundles and transitioning to itemized billing for maternity care. Prenatal visits, labor management, delivery, and postpartum care will be billed separately using new CPT codes (12 new codes added, 6 revised, 17 removed). Billing teams must update coding workflows, EHR configurations, and documentation practices to reflect E&M codes for prenatal/postpartum care and new labor management codes by the effective date.

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What to do

Action · 7 steps
01Before January 1, 2027.
02Billing team must update EHR systems and billing software to reflect new maternity CPT code structure—eliminate global delivery codes and configure separate billing for prenatal visits (E&M codes), labor management (new codes), delivery, and postpartum care (E&M codes).
03Providers must update documentation templates to support itemized billing and include appropriate diagnosis codes identifying prenatal/postpartum status (TH modifier is encouraged but not required).
04Update internal billing workflows and staff training to reflect transition from bundled to itemized maternity services.
05Review Florida Blue and Truli updated Obstetrical Services payment policies in their payer portals.
06Ensure all affected provider contracts are amended per payer guidance.
07For 2026 antepartum care with 2027 deliveries: use 2026 global codes for antepartum visits in 2026 (CPT 59425 for 4-6 visits, CPT 59426 for 7+ visits); bill any 2027 antepartum or postpartum care using E&M codes.
If missed: Failure to update systems will result in claim denials or improper reimbursement under new fee schedules effective January 1, 2027.

Codes mentioned

5942559426

Original notice

Maternity Care Services Global CPT Code Changes
files.guidewell.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Florida Blue policiesFL policy changesOB-GYNFamily MedicineGeneral PracticeCode 59425Code 59426

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