Cotiviti flags health plan uncertainty over 2027 maternity coding changes

PUBT · 2d ago
Cotiviti flags health plan uncertainty over 2027 maternity coding changes
  • Maternity coding changes effective January 1, 2027, will unbundle prenatal visits, delivery and postpartum care, creating implementation uncertainty for health plans.
  • CMS on July 14, 2026, sought feedback on 15 potential Medicare-specific HCPCS G-codes to preserve global maternity billing alongside encounter-based coding.
  • ACOG opposes separate Medicare codes, warning dual billing systems could increase administrative complexity and contribute to disparities in obstetric care.
  • The CMS public comment period ended September 14, 2026; final guidance may affect Medicare maternity reporting and reimbursement.
  • State Medicaid variations require health plans to tailor implementation by market rather than use a single national configuration.


Disclaimer: This news brief was created by Public Technologies (PUBT) using generative artificial intelligence. While PUBT strives to provide accurate and timely information, this AI-generated content is for informational purposes only and should not be interpreted as financial, investment, or legal advice. Cotiviti Inc. published the original content used to generate this news brief on October 29, 2026, and is solely responsible for the information contained therein.