Guides

What the global fee includes, what bills separately, and the scenarios that break the bundle.

The AMA is retiring the global OB package after more than 30 years. Effective January 1, 2027, the entire 59400 family is deleted and maternity care unbundles into per-encounter billing across four phases. Here is what is actually changing, what we know so far, and what to do about it.

When a pregnancy changes hands mid-course, the global package breaks into components, and both practices need to bill the right pieces. Here is how the split works, and what it costs.

A twin pregnancy roughly doubles the imaging and surveillance work but does not double the global package. Here is what gets billed per fetus, what gets billed once, and how the delivery codes stack for each birth combination.

Federally qualified health centers do not live in the fee-for-service world the rest of this site describes. Prenatal care pays by the encounter, the global package effectively dissolves, and the delivery usually leaves the building. Here is how the pieces fit.

The global package rules are simple until a real pregnancy meets them. These are the questions that actually come up at the billing desk, answered short. For the full framework, start with the global package guide.

Medicaid finances roughly four in ten US births, and it plays by different rules than the commercial global-package world. Here is the structure: who pays, why the global often unbundles, and the eligibility mechanics that decide whether early prenatal care gets paid at all.