May 19, 2025
Effective Aug. 19, 2025, we’ll implement a new Clinical Payment and Coding Policy, CPCP044 Global Obstetrical/OB Maternity Services, with coding guidance.
CPCP044 provides information for eligible reimbursement for obstetrical maternity services occurring during the global OB period for professional provider claims. The global OB period includes antepartum care, delivery services and postpartum care.
This policy includes billing and coding guidance for the following:
- Initial OB visit
- Global OB package
- Multiple births
- Care provided by two different providers
- Complications
- Quality measurement reporting
For more detail, refer to the new policy CPCP044.
Important Reminders
Always check eligibility and benefits first through Availity® Essentials or your preferred vendor portal, prior to rendering services. This step will confirm prior authorization requirements and utilization management vendors, if applicable.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to Blue Cross and Blue Shield of New Mexico. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products or services they offer.
The information provided does not constitute coding or legal advice. Physicians and other health care providers should use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment, and to submit claims using the most appropriate code(s) based upon the medical record documentation, coding guidelines and reference materials.