2027 OB-GYN and Maternity Coding Reset

Global Package Deletions, New Labor and Delivery Codes and E/M Reporting

The 2027 maternity update is not a routine annual revision. It represents a fundamental restructuring of how maternity services are reported.

The longstanding global maternity framework is being replaced by a structure designed to reflect contemporary, team-based care across antepartum management, labor, delivery and postpartum services. The changes include 17 deleted codes, 12 new codes and six revised codes, together with new subsections, revised guidelines and relocated services.

All current antepartum and postpartum care codes are being deleted, with applicable encounters generally moving to E/M reporting. Labor management introduces daily reporting concepts, initial and subsequent days, and different levels of service. Delivery coding is being separated from other maternity components, with additional distinctions for the services performed.

For practices, hospitals and payers, this change may require substantial revisions to provider documentation, coding workflows, EHR templates, fee schedules, contracts and staff education

Session Agenda

• The scope and purpose of the 2027 maternity coding restructure
• Global maternity codes being deleted and what replaces them
• Transition of antepartum encounters to applicable E/M reporting
• New labor-management reporting concepts
• Initial versus subsequent labor-management days
• Straightforward versus complex labor-management levels
• New delivery-code structure and important service distinctions
• Reporting postpartum encounters under the revised framework
• Separately reportable repairs and procedures, when applicable
• Documentation needed to support the new reporting structure
• Operational changes required in EHRs, fee schedules and charge workflows
• Common transition errors that could cause denials or missed revenue

Session Objectives

At the conclusion of this webinar, participants will be able to:

• Explain the major changes to the 2027 OB-GYN and maternity coding structure.
• Identify the 17 deleted, 12 new and 6 revised maternity codes.
• Describe how the deletion of the traditional global maternity framework affects reporting.
• Determine how applicable antepartum encounters should transition to E/M reporting.
• Distinguish between initial and subsequent labor-management services.
• Apply the new labor-management reporting concepts to appropriate services.
• Differentiate straightforward and complex labor-management levels.

Session Highlights

• 2027 maternity coding changes at a glance
• 17 deleted maternity codes — what is going away?
• 12 new codes and 6 revised codes — what is changing?
• End of the traditional global maternity reporting framework
• Transition of applicable antepartum services to E/M reporting
• New labor-management reporting concepts
• Initial vs. subsequent labor-management days
• Straightforward vs. complex labor-management services
• Revised delivery coding structure
• Important distinctions between different delivery services
• Reporting postpartum encounters under the new framework
• Separately reportable repairs and procedures

Who Should Attend

This boot camp is recommended for:

• Certified professional coders
• Specialty coders and coding managers
• Medical billers and reimbursement professionals
• Revenue-cycle directors and managers
• Physicians and nonphysician practitioners
• OB-GYN and maternity-care practices
• Radiology and interventional-radiology groups
• General surgeons and surgical practices
• Pathology groups and clinical laboratories
• Hospital outpatient departments
• Ambulatory surgery centers
• Clinical documentation improvement professionals
• Compliance officers and internal auditors
• Practice managers and administrators
• Charge-capture and charge-master teams
• EHR, coding-system and workflow implementation teams
• Consultants and provider educators