October 1, 2026

State of Alabama
Press Release: Medicaid

Changes to Maternity Care CPT Codes for 2027

PDF Version


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.




  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here