On January 1, 2027, global maternity codes give way to visit-level prenatal and postpartum billing plus new labor management and delivery codes. For midwives, labor management is the part to watch, because long labors can now be reported by calendar day. Credentials and state Medicaid rules still decide who can bill what.
Book a demoWho the midwife is, where the birth happens, and which payer covers it matter as much as the code.
Antepartum and postpartum visits move to E/M codes billed as they happen, and labor gets its own management codes, 59080 through 59083, reported with the delivery code. Practices used to one claim after the birth will need to submit claims throughout care.
Medicare pays certified nurse-midwives at 100 percent of the physician fee schedule. Every state Medicaid program pays CNMs, but coverage for midwives without a nursing degree, and the rate for both, varies by state and plan.
Hospital, freestanding birth center, and home births use different place of service codes, and some states limit where certain midwives can be paid. Where a payer covers birth center services, the center's facility claim is separate from the midwife's professional claim.
Visit-level billing means claims follow the care as it happens, not after the birth.
Midwives document each prenatal visit, labor day, delivery, and postpartum visit and approve the codes Taiga drafts. Transfer-of-care notes stay with the clinical team.
Prenatal, postpartum, and gynecologic visit claims as they happen, with eligibility checks, scrubbing, submission, and every denial and appeal. Patient statements and follow-up come with it.
Transfers to hospital care during labor, birth center facility claims, and pregnancies that began under global billing need a clear owner. Agree on the split before the first 2027 deliveries.
Bring de-identified examples and your payers' maternity policies. Keep patient details out of the booking form.
List CNMs, certified midwives, and licensed or professional midwives, their NPIs, and which payers have credentialed each one.
Break out hospital, birth center, and home births, and who sends records when a laboring patient transfers.
Note the plans that already accept visit-level billing and those still asking for a single maternity claim, so pregnancies spanning the change are handled correctly.
Useful to an independent midwifery practice or birth center preparing for visit-level maternity billing that wants claims, denials, and appeals handled in step with care, inside its current EHR.
Licensure, Medicaid enrollment, and covered birth settings differ by state and by plan. This page does not determine whether a midwife or setting is payable, or how any visit should be coded.
Global maternity codes are deleted. Prenatal and postpartum visits are billed as E/M encounters, and labor management and delivery have separate codes.
Yes. Medicare Part B pays CNM services at 100 percent of the physician fee schedule amount for the same service.
In some states. Every state pays certified nurse-midwives, but coverage for other midwives depends on state licensure and Medicaid policy.
Not under the 2027 codes. Routine postpartum care on the delivery day is included in the delivery code, and later postpartum visits are billed as E/M encounters.
Share credentials, birth settings, payer list, and expected deliveries by month. Taiga will tell you what it could own through the code change.
System guides show possible billing handoffs, not proven specialty compatibility.