Reviewed by certified coders + a maternal-fetal medicine physician / Updated for 2026
OB Coding Guide

About OB Coding Guide

OB Coding Guide is a free reference for OB and maternity medical coding and reimbursement, written for the billers, coders, and practice managers who submit the claims. It exists because the alternatives are payer PDFs, paywalled forums, and pages that were last accurate three CPT editions ago.

Who reviews this

SH
Sina Haeri, MD, MHSA
Maternal-Fetal Medicine
Board-certified OB/GYN · MFM
MW
Millie Woodard, CPC
Certified Coder · Revenue Cycle Lead
CPC · COBGC · CPMA

Every page carries a named clinical reviewer and, before final publication, a certified coder reviewer (CPC). Pages that have not yet completed coder review say so on the page.

Editorial policy

Rule statements follow a strict sources hierarchy:

CMS regulation, the NCCI policy manual, and Medicare fee schedule files
Specialty-society coding guidance published by ACOG, SMFM, and AIUM
Payer-published medical and reimbursement policies
Established coding convention, labeled as such when no primary source exists

Where payers diverge, we say so instead of pretending one rule fits all. We describe payer behavior neutrally: what gets denied, and what documentation overturns it.

How we review and update

Pages are rebuilt every January for the new CPT edition and Medicare fee schedule, reviewed quarterly where rules move fastest (telehealth), and corrected as payer policies change. Every change is logged in Updates and every page shows its last-reviewed date.

Corrections

Found an error? Email the corrections inbox with the page URL and the primary source that contradicts it. Verified corrections ship within a week and are logged in Updates.

Sponsorship

OB Coding Guide is maintained by Ouma Health, a maternal-fetal telemedicine practice. Ouma funds the site's upkeep and clinical review. The content carries no product pitches, no demos, and no sales calls to action, and coverage decisions are made editorially. Where a page touches territory Ouma works in (MFM overreads, telehealth, co-management), that connection is disclosed by this page and the site footer.

Disclaimer

CPT® is a registered trademark of the American Medical Association. Content is educational and not billing, legal, or medical advice. Coding and payment rules change and payers apply their own policies. Verify every code, modifier, and rate against current payer policy and fee schedules before submitting claims. Nothing here is billing, legal, or medical advice.