TO: All Maternity Care Providers (MCPs)
RE: Changes to Maternity Care CPT Codes for 2027
Effective January 1, 2027, global maternity care CPT
codes will be retired and replaced with new maternity care CPT codes,
established by the American Medical Association (AMA).
Maternity Care CPT Code Guidance
- Alabama Medicaid
Agency (Medicaid) will transition to the new maternity care CPT
codes on January
1, 2027.
- MCPs should use the appropriate global maternity care CPT codes for services that occur in 2026 and the
new maternity care CPT codes for services that occur in 2027.
- If a beneficiary receives all prenatal services and delivers on or before December 31, 2026, use the existing global maternity care CPT
codes. In this instance, postpartum visits will be included with the global reimbursement fee.
- If a beneficiary receives prenatal care on or before
December 31, 2026, and delivers on or after January 1, 2027, providers
should use the appropriate antepartum global CPT codes for services prior to
January 1, 2027 (as detailed
in the chart below) and use the new maternity care CPT codes for services rendered on or
after January 1, 2027.
|
ANTEPARTUM VISITS IN 2026
|
|
NUMBER OF 2026 ANTEPARTUM VISITS
|
CPT CODE
|
|
7 or more visits
|
59426
|
|
4-6 visits
|
59425
|
|
1-3 visits
|
E/M codes
|
- For all maternity
services rendered on or after January
1, 2027, the TH modifier must be appended to the procedure code.
For additional
resources:
For general maternity policy questions, email maternitycare@medicaid.alabama.gov. For billing questions or
billing assistance, contact Gainwell Provider Assistance at (800) 688-7989.
The Current Procedural Terminology (CPT) and Current
Dental Terminology (CDT) codes descriptors, and other data are copyright
© 2026 American Medical Association and © 2026 American Dental Association (or such
other date publication of CPT and CDT). All
rights reserved. Applicable FARS/DFARS
apply.