Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Anthem BCBSCommercial · Billing Codes · Coding · GA · OB-GYN, Family Medicine, Internal MedicineHigh impact

[Georgia] Reimbursement policy update: Maternity Services coding changes

Act
by Dec 1, 2026
Effective date
Jan 1, 2027
Identified
Oct 2, 2026

Summary

Effective January 1, 2027, Anthem Blue Cross and Blue Shield is restructuring maternity services coding for Georgia commercial plans. If CMS does not adopt proposed G-codes, maternity care will shift from global codes to granular reporting using separate antepartum, delivery, and postpartum codes with E/M codes, modifier TH, and frequency limits. The policy is contingent on CMS's decision; Anthem will provide updated guidance if CMS adopts alternative G-codes.

Get alerts when payers change rules like this one

We check Anthem BCBS and other payers every day and email you when a change matches your specialty and state.

Get Anthem BCBS alertsPolicy Monitoring is free. No card required.

What to do

by Dec 1, 2026 · 10 steps
01Billing team and OB/GYN providers must audit current maternity coding practices and prepare for transition from global maternity codes to granular reporting structure.
02Beginning January 1, 2027.
03Update billing software to recognize antepartum, delivery, and postpartum services as separately reportable items using appropriate E/M codes instead of global codes.
04Configure system to require modifier TH when applicable.
05Implement frequency limits for routine pregnancies in system validations.
06Train billing and clinical staff on new coding requirements and exceptions for high-risk pregnancies and pregnancy-related complications (which do not trigger frequency limits).
07Update encounter forms and templates to prompt providers to document high-risk status or complications when applicable.
08Monitor Anthem provider communications between October 2026 and December 2026 for notification of CMS's G-code adoption decision, as this will determine final coding implementation.
09Failure to implement changes by January 1, 2027 will result in claim denials and revenue loss.
10All claim submissions must reflect the new coding structure on or after the effective date.

Original notice

[Georgia] Reimbursement policy update: Maternity Services coding changes
providernews.anthem.com · Always check the source before changing claims.
View original ↗

Related changes

See all Anthem BCBS changes →
[New York] Reimbursement policy update: Maternity Services coding changes (October 2026 Newsletter)HighEffective Jan 1, 2027 · CodingBrowse every Anthem BCBS change in the policy list

Related policy hubs

Anthem BCBS policiesGA policy changesOB-GYNFamily MedicineInternal Medicine

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account