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2027 Substrate Maternity Resource Center

Global billing for maternity is ending.

Today, maternity care is largely billed using a "global" code. Beginning January 1, 2027, CPT revisions will allow care to be reported more granularly at the service level. January 1 is the CPT effective date, but each payer might choose to transition billing on their own timeline.

The 2027 Substrate Maternity Resource Center tracks which of your payers are moving off global maternity billing, so you can adapt proactively. For more background, see the AMA CPT 2027 maternity care services update.

207Tracked Payers
63confirmed 2027 guidance
43proposed but not final
26pending payer guidance
16awareness notice only
59policies unchanged

Current As Of October 2026

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How to read this

AMA CPT 2027 retires global maternity packages (59400, 59510, 59610, 59618) in favor of itemized prenatal, delivery, and postpartum billing. Each payer sets its own timing.

The five statuses above, with these meanings: Confirmed 2027 guidance means the payer published final instructions. Proposed—not final means draft or announced, may change, don't bill on it yet. Pending payer guidance means the payer has not published instructions. Awareness notice only means the payer acknowledged the change without operational detail. Current policy only means the record reflects current policy or reference material. It does not by itself confirm that global billing continues.

Transition starts is when the payer begins the changeover. Billing starts is the first date of service that must be billed the new way.

Current as of October 2026. Verify against the linked payer source before submitting claims.

Source: Substrate AI Maternity Resource Center — https://www.substrateai.com/payers/2027-substrate-maternity-resource-center. Not billing or legal advice.

Interactive policy explorer

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State results include exact state records and clearly labeled national commercial guidance. National guidance does not confirm a state-plan, Medicaid, or Medicare Advantage policy.

Showing 1 of 207 • All states • All statuses

Confirmed 2027 guidance

Blue Shield of California

CATransition: Not stated in the cited source

Effective January 1, 2027, Blue Shield of California will require maternity services to be billed with a phase-of-care methodology rather than a global obstetrical package. Patients with one to three antepartum visits by September 1, 2026 should have continuing antepartum visits billed with E/M codes when those visits are anticipated to continue past January 1, 2027. Patients with four or more visits as of September 1, 2026 stay on the global structure when they deliver by December 31, 2026.

Published
Not stated in the cited source
Transition starts
Not stated in the cited source
Billing starts
January 1, 2027
Evidence checked
2026-10-06
Billing notes and scope
Codes affected
Not published
Modifiers
Not published
Global allowed through
2026-12-31 (delivery)
Applies by
Delivery date
Product
Not published
Source excerpt
Four or more visits as of September 1, 2026 continue under the global CPT structure for deliveries by December 31, 2026.

Scope: Blue Shield of California. Not the Washington HCA FAQ and not Promise Health Plan.

Transition: Not stated in the cited source.

Global billing: Four or more visits as of September 1, 2026 continue under the global CPT structure for deliveries by December 31, 2026.

This record does not use the Washington Medicaid FAQ.

Example questions

  • How should I bill for Blue Shield of California when itemized billing starts January 1, 2027 and global billing is allowed through December 31, 2026 (delivery)?

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  • What can I bill for Blue Shield of California after December 31, 2026 (delivery)?

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  • Blue Shield of California's guidance is 'Confirmed 2027 guidance'. What should I do for claims with DOS on or after Jan 1, 2027?

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Client-ready download

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One tailored PDF guide: a cover summary, background on the 2027 change, source links to every payer policy in this mix, the selected payers and states, the evaluation rubric, and one page per policy document with verbatim payer guidance.

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Frequently asked questions

What you need to know

Is global billing for maternity ending everywhere at once?

No. CPT revisions take effect January 1, 2027, but that is not each payer's billing date. Search tracked payers to see who published a transition date, whose guidance is still proposed, and whose policies are unchanged.

What is changing about maternity billing in 2027?

Today, maternity care is largely reported using a global code. Beginning January 1, 2027, CPT revisions will allow care to be reported more granularly at the service level. Whether and when a payer moves off global billing depends on that payer's own policy.

How do I see what’s changing by payer in my market?

Search the 2027 Substrate Maternity Resource Center by payer, then open the primary policy. Confirm the transition and billing dates, and recheck the source before submitting claims. This is policy intelligence, not coding or legal advice.

Can I download policies for multiple payers?

Yes. Select payer cards and download one PDF guide for that payer mix. It opens with background on the 2027 change, links to every cited payer policy, and each policy gets its own page with the verbatim payer guidance and source links. The source documents remain on each payer's website.

Which bundled maternity CPT codes are retired on January 1, 2027?

The following bundled CPT codes will be retired and should not be reported for dates of service on or after January 1, 2027: 59050, 59400, 59409, 59410, 59425, 59426, 59430, 59510, 59514, 59515, 59525, 59610, 59612, 59614, 59618, 59620, and 59622.

Which maternity CPT codes are revised effective January 1, 2027?

The following CPT codes have revised descriptions or reporting requirements effective January 1, 2027: 59412, 59051, 59414, 59300, 59898, and 59899.

Which new maternity CPT codes take effect on January 1, 2027?

The following new CPT codes take effect January 1, 2027: 59080, 59081, 59082, 59083, 59431, 59432, 59433, 59434, 59502, 59503, 59504, and 59623. They cover labor management, vaginal and cesarean delivery, laceration repair, hysterectomy after cesarean delivery, and uterine tamponade. Routine prenatal and separately reportable postpartum visits use the appropriate evaluation and management (E/M) codes.

How many codes were changed in total?

35 total codes were changed, including 17 deleted codes, 12 new codes and 6 revised codes.

Why are these updates being made?

The updates align with CMS guidance and support more accurate, consistent reporting of prenatal and postpartum care. Phase-specific coding helps identify services at the appropriate stage of care and supports quality measurement. More details can be found from the AMA here: https://www.ama-assn.org/practice-management/cpt/cpt-2027-maternity-care-services-code-changes

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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