In this episode of Payment in Practice, ACOG's Health and Payment Policy team members break down the upcoming transition from global obstetric codes to Evaluation and Management (E&M) codes for antepartum care. They explain why the change is necessary, walk through the critical transition timeline, clarify which E&M codes apply to different care settings, and outline what OB/GYNs need to know about the TH modifier, prior authorization risks, and down coding concerns — with resources to help practices prepare ahead of the January 1, 2027 launch.

To learn more about payment parity and OB code changes visit the ACOG Payment Advocacy for Obstetric Services and Payment for Obstetric Services pages.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In this episode of Payment in Practice, host Lisa Satterfield sits down with Dr. Judy Volker — ACOG's CPT Advisor and longtime member of the Committee on Health Economics and Coding (CHEC) — to pull back the curtain on how CPT codes are actually created. From understanding Category 1 vs. Category 3 codes, to navigating the AMA's rigorous literature requirements, to submitting a new code with ACOG's support, this episode is an essential primer for any OB-GYN who wants to understand the process behind the procedure codes they bill every day.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In this Payment in Practice podcast, tuned in for a discussion with expert coders as they discuss how to code IUD removal when a hysteroscope is used but the device is not embedded. In their conversation they reference the uses for different CPT and diagnostic codes for as related to simple and more complex IUD removal so that services can be adequately billed for service.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In this episode of Payment in Practice, listen in to ACOG Senior Manager of Clinical Coding and expert coding consultant Brad Hart discuss how to code and seek appropriate reimbursement for unusually complex surgical cases, using the 22 modifier.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In September 2025 the AMA CPT Editorial Panel voted to delete the OB global codes effective January 1, 2027 and in January 2026 the AMA RUC discussed the codes at length to assign values (see page 2022). This is all due to advocacy by ob-gyns engaging through surveys and ACOG's Payment Advocacy and Policy Portal, and work performed by the members of the Committee on Health Economics and Coding, to make sure ob-gyns get paid for the work they perform.

So what is happening now?

Get the latest update and find out how to find out more information as it becomes available!

In this Payment in Practice podcast episode, join us for another conversation with expert coders, Kehinde Taiwo and Brad Hart. In today's conversation listen in on how to report VNOTES (vaginal natural orifice transluminal endoscopic surgery) services for a patient undergoing hysterectomy with bilateral salpingectomy using a VNOTES device. They explain that differences and similarities of VNOTES and vaginal surgery along with the ACOG Committee on Health Economics and Coding (CHEC) recommendations for CPT codes that would be reflective of the a VNOTES procedure as no CPT code currently exists.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In this episode of the Payment in Practice podcast, our coding experts have a conversation on how to report sterilization performed as a bilateral salpingectomy at the time of a scheduled repeat cesarean delivery. Tune in as they overview the process of CPT codes updates and explain bilateral salpingectomy has become common and is supported by ACOG Committee Opinion 774 for ovarian cancer risk reduction.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.

In our twelfth episode of the Payment in Practice podcast, the Health and Payment Policy Team discusses their policy work in 2025 and looks ahead to their planned advocacy projects in 2026.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding resources in general, visit our website.