When does Blue Cross Blue Shield of Michigan change OB/GYN billing?
Confirmed 2027 guidance
Transition
Not stated in the cited source
Billing
January 1, 2027 — global bundled codes discontinued
Published
Not stated in source
The American Medical Association will discontinue global bundled prenatal, delivery, and postpartum codes on Jan. 1, 2027 and replace them with individual E/M or designated obstetric procedure codes. These interim requirements apply only to prenatal visits for members expected to deliver on or after Jan. 1, 2027. The TH modifier is a prerequisite for processing prenatal claims that use the designated E/M codes.
Not stated in the cited source.
Global bundled prenatal, delivery, and postpartum codes are discontinued on Jan. 1, 2027.
Blue Cross Blue Shield of Michigan commercial, Blue Care Network commercial, Medicare Plus Blue, and BCN Advantage.
Questions about Blue Cross Blue Shield of Michigan
When does Blue Cross Blue Shield of Michigan change OB/GYN billing?
Blue Cross Blue Shield of Michigan has published 2027 OB/GYN billing guidance. Transition: Not stated in the cited source. Billing: January 1, 2027 — global bundled codes discontinued. The American Medical Association will discontinue global bundled prenatal, delivery, and postpartum codes on Jan. 1, 2027 and replace them with individual E/M or designated obstetric procedure codes. These interim requirements apply only to prenatal visits for members expected to deliver on or after Jan. 1, 2027. The TH modifier is a prerequisite for processing prenatal claims that use the designated E/M codes.
What do I bill Blue Cross Blue Shield of Michigan for prenatal visits in 2027?
The American Medical Association will discontinue global bundled prenatal, delivery, and postpartum codes on Jan. 1, 2027 and replace them with individual E/M or designated obstetric procedure codes. These interim requirements apply only to prenatal visits for members expected to deliver on or after Jan. 1, 2027. The TH modifier is a prerequisite for processing prenatal claims that use the designated E/M codes. Global bundled prenatal, delivery, and postpartum codes are discontinued on Jan. 1, 2027.
Has Blue Cross Blue Shield of Michigan published 2027 maternity guidance?
Yes. Blue Cross Blue Shield of Michigan has published 2027 maternity guidance. Last checked October 6, 2026. Source: The Record: maternity billing changes.
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.
This website uses cookies to ensure you get the best experience on our website. Learn more
