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Blue Cross Blue Shield of Rhode IslandAll Plans · Billing Codes · Provider Update · RI · OB-GYNHigh impact

Maternity - Obstetrical Services

Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Oct 31, 2026

Summary

BCBS RI is discontinuing bundled obstetrical billing effective January 1, 2027. Providers must transition from current bundled OB codes to individual Evaluation and Management and delivery codes per new AMA/CPT coding standards. Current bundled codes will be deleted December 31, 2026.

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What to do

by Dec 31, 2026 · 2 steps
01Billing team and providers must update billing software and encounter workflows to discontinue use of bundled OB codes and implement new individual AMA/CPT codes for E/M services and delivery procedures effective January 1, 2027.
02Review the full policy and FAQ section at https://www.bcbsri.com/providers/update/maternity-obstetrical-services for specific code mappings and billing requirements.
If missed: Failure to transition may result in claim denials for services billed under deleted bundled codes.

Original notice

Maternity - Obstetrical Services
bcbsri.com · Always check the source before changing claims.
View original ↗

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Blue Cross Blue Shield of Rhode Island policiesRI policy changesOB-GYN

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