Payment in Practice: Conversations for OB/GYNs

With the deletion of the OB Global codes effective January 1, 2027 and proposal of the new OB codes in the Medicare Physician Fee Schedule, now is the time for providers and practices to prepare for the implementation. Whether you are an ob-gyn, an office administrator, or simply interested in learning more about the upcoming changes, listen to ACOG policy experts who are in conversations with the health plans discussing the pertin...

We hope you have enjoyed our bonus episodes derived from our live Town Halls on the new maternity care services codes! As the team continues to work with health plans and vendors and works to develop resources and curriculum on this new code set, we appreciate your patience with us. AND we need your help! This long episode tackles 2 important topics: how you can help get these codes over the finish line, and setting the record stra...

With the deletion of the OB Globals effective January 1, 2027, it is time for every obstetric provider to rethink how the Evaluation and Management codes translate for the pregnant patient. This live Town Hall, recorded June 2, 2026, covered the use of current E/M codes for antepartum care and how to transition your practice to get ready. 

To register for the next Town Halls on Labor and Delivery (June 16) and Postpartum servic...

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, pr...

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...

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 Advo...

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.

ACOG's Pa...

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...

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...

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? V...

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 genera...

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...

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 an...

Meet Dr. Adrienne Zertuche, who went from residency to private practice. She talks about the advantages she enjoys being in a group practice, what she has learned and the importance of mentorship from the business of medicine perspective. 

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.

ACOG's Paym...

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 resour...

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 ...