Changes to billing for global maternity services effective January 1, 2027

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is updating its maternity services billing processes to align with new American Medical Association (AMA) requirements. The AMA has revised coding related to global maternity billing, with updates effective January 1, 2027.

To support this transition, providers will need to make changes to the way maternity services are billed beginning mid-May 2026 to support accurate reimbursement of services performed on or after January 1, 2027.

Blue Cross NC encourages providers to review guidance published by the American College of Obstetricians & Gynecologists (ACOG) and the AMA.

Additional guidance and resources will be shared in the coming months.