Payment in Practice: Conversations for OB/GYNs

In Sept 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...

In this Payment in Practice podcast, 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 ACO...

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 questio...

In our eleventh episode of the Payment in Practice podcast, coders, physicians, and panelists who attended the Payment in Practice: In Person! conference discuss their experiences learning about coding and billing from the CHEC and ACOG’s Health and Payment Policy Team.

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, vis...

In our tenth episode of the Payment in Practice podcast, the CHEC committee’s Gwenn Jackson, MD, FACOG; Eilean Attwood MD, MPH, FACOG; and Lauren MacAfee, MD, FACOG discuss best practices for documentation to support coding for obstetrics and gynecology services. 

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...

In our ninth episode of the Payment in Practice podcast, the CHEC committee discusses things to remember when coding and documenting patient visits, and how to avoid common errors when doing so. 

Our CHEC experts include John Horton, MD, FACOG; Jon Hathaway, MD, PhD, FACOG; Judith Volkar, MD, FACOG; and Lisa Hofler, MD, MPH, MBA, FACOG. 

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit...

In our seventh episode of the Payment in Practice podcast, viewers will hear guidance on how to effectively and efficiently code for obstetric and gynecology services from the CHEC's Gwenn Jackson, MD, FACOG; Nichole Mahnert, MD, FACOG; David Holtz MD, FACOG; and Gregory DeMeo, DO, FACOG.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy Portal and submit your question today! To learn more about our coding r...

This bonus episode for Payment in Practice provides actionable steps to establish a collaborative care model into obstetric practices for the management of perinatal mental health. Dr. Emily Miller, Director of the Division of Maternal Fetal Medicine at the Warren Alpert Medical School of Brown University, talks about her work establishing an integrated behavioral health collaborative care team and how this model can be scaled for ...

In our first ever bonus episode, we have a discussion with Dr. Alex Peahl, Assistant Profession of University of Michigan Health and a primary author of the new Tailored Prenatal Care guidance published by ACOG in May of 2025. We learn how the guidance kept maternal mental health top of mind during the development, and tailored care meets the individual needs of all pregnant patients, especially those with mental health conditions....

In our sixth episode of the Payment in Practice podcast, viewers will hear about the practical considerations of billing and coding to understand when you’re first out of residence and beginning your practice! 

Viewers will hear from the CHEC’s David Holtz, MD, FACOG; Eilean Attwood MD, MPH, FACOG; Judith Volkar, MD, FACOG; and Lauren MacAfee, MD, FACOG.

Have any coding questions? Visit the ACOG Payment Advocacy and Policy ...

In our fifth episode of the Payment in Practice podcast, listeners will learn about the business of medicine from an interview with Grant Cox MD, FACOG, including why it's important to learn business principles as physicians regardless of their career level, key business skills that he has learned over time, how to strike a balance between medical responsibilities and demands of the business, billing and coding, and so much mo...

In our fourth episode of the Payment in Practice podcast, viewers will learn about the RUC survey that is sent to ACOG members to determine the physician work and time for a modified or new procedure code. 

Viewers will hear about the survey and CPT code development process from the CHEC’s John Patrick Horton, MD, FACOG; David Holtz, MD, FACOG; and Lisa Hofler MD, MPH, MBA, FACOG. 

Have any coding questions? Visit the ACOG ...

In our third episode of the Payment in Practice podcast, viewers will hear from the CHEC's Jon Hathaway, MD, PhD, FACOG about Relative Value Units, or RVUs, that are used to quantify the value of a physician’s services by insurance companies and healthcare systems. 

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, vi...

In our second episode of the Payment in Practice podcast, viewers will learn about global coding packages, that are intended to ease the process of billing and coding by bundling the professional and ancillary services associated with a patient’s care into one bill. 

Viewers will hear expert opinions from the CHEC’s Jon Hathaway, MD, PhD, FACOG; Nichole Mahnert, MD, FACOG; Gwenn Jackson, MD, FACOG; and Eilean Attwood, MD, ...

In our first episode of the Payment in Practice podcast, viewers will learn about ACOG’s Committee for Health Economics and Coding, or CHEC, and how they advocate for ACOG fellows and members to receive fair and equitable payment for the physicians’ work and time.

Hear from CHEC's Gregory DeMeo DO, FACOG, Gwenn Jackson MD, FACOG, and Eilean Attwood MD, MPH, FACOG.

Have any coding questions? Visit the ACOG Pa...