Free live webinar · September 30, 2026 · 5:00 PM CST

Your OB Global Code Is Being Deleted.

On January 1, 2027, 59400 and 59510 are deleted. The one global code becomes four separately billed phases, and the rates in your contracts do not come with them. We will show you exactly what to fix, and by when.

Dr. Heather Signorelli, DOFounder · Physician Advisor
Stephanie Hilliard, CPCCertified Professional Coder · Session Lead

Register for the free webinar

Save your seat and we will send the join link plus the full OB resource pack.

Wednesday, September 30, 2026 · 5:00 PM CST60 minutes · Live Q&A · Recording sent to all registrants
00Days
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until we go live on September 30 at 5:00 PM CST

A written action plan goes to every attendee, mapped to your practice size and payer mix.
Zero pitch. Zero upsell. Free start to finish. We are not selling anything on this call.
The whole hour is built around one thing: how to keep your OB revenue intact when 59400 and 59510 go away.

Free · 60 minutes · recording sent to every registrant

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What the change costs

When the Code Dies, Your Rate Dies With It.

This is not a billing update. It is a revenue event. When a code retires, the contracted rate attached to it retires too, and the money slips out in three places before a single denial ever appears.

12–20%

Less per Delivery, by Default

Do nothing and payers map the new codes to their default rates. Net pay per delivery lands 12 to 20% below what your global earns today.

$2,970/mo

Riding on One Note a Day

Labor bills per calendar day now. Straightforward versus complex is a 1.5 RVU swing, and at 40 deliveries a month that is roughly $2,970, with no denial to flag it.

$598/preg

Lost to Habit Coding

Antepartum bills visit by visit. Default to 99213 when the chart supports 99214, and about $598 a pregnancy leaks out quietly.

What we cover

Sixty Minutes That Make the Change Make Sense. 🩺

Stephanie Hilliard walks every new code and the note behind it.

01You will leave knowing what changes,
02what can be billed together,
03who owns each step,
and…
04the deadline on each one.

What is changing

  • The four phases and how each one is billed
  • New labor codes 59080–59083, billed per calendar day
  • The six criteria that separate straightforward from complex
$114K
a year hinges on documentation alone, on volume you already deliver

The full coding change, line by line.

We walk the move from one global code to four billed phases, the new labor codes that bill per calendar day, and the repairs that are separately billable, like 59433 and 59434.

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What a note has to say, every day.

Complexity cannot carry forward. We show your team exactly what a complex labor note needs, what can and cannot be billed together, and how to document antepartum to the level the work supports.

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Three moves for this quarter.

Audit ten labor charts, build your global-versus-unbundled model, and send written renegotiation notice to your top three OB payers before Oct 31. You leave with the checklist.

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Reserve your seat

Be Ready in January, Not Scrambling in December.

Sixty minutes, live, with real time for your questions. Register and we send the join link plus your full resource pack. The practices that prepare now are the ones negotiating from strength in Q4.

Written action plan to every attendee Zero pitch. Zero upsell. 100% free
Save my seat · September 30, 5:00 PM CST
The structural change

One Global Code Becomes Four Billed Phases.

For 30 years, maternity care billed under a single global code. From January 1, 2027, each phase of care is coded and paid on its own.

59400
Vaginal global
59510
Cesarean global
Antepartum
E/M · TH
Billed visit by visit
Labor
59080–83
Per calendar day
Delivery
59431–503
Plus repairs
Postpartum
E/M · TH
Billed visit by visit
Annual OB revenue · 100 deliveries · 125% Medicare
$214.9K
Habit
all 99213
$301.1K
Appropriate
all 99214
$329.2K
Well documented
70/30 mix
The lever you control

The Same Deliveries. Three Very Different Paychecks.

Contracts take months to renegotiate. Documentation you can fix this week. Same patients, same visits. The only difference is whether the note carries the level the work already supports.

Baseline · what habit coding pays
The lift from coding to the level the chart supports
The number worth protecting
Your number

So What Is Actually at Stake for Your Practice?

Two levers: your contracts and your documentation. Set three inputs and watch your range move. On the call, we rebuild this with your real billing data.

201,200+
Estimated annual revenue at risk in 2027
$0to$0
Minor exposureSevere exposure
The number you bring to your payer renegotiation.
Unrenegotiated contracts
$0
12 to 20% lower per episode by default.
Undercoding by habit
$0
Leaked at 99213 instead of 99214.
Protect this revenue

Illustrative, built on 2026 Medicare rates and AMA RUC values submitted February 2026. Your real exposure depends on your contracts and documentation. Final CMS values publish November 2026.

The clock

The Work That Protects 2027 Happens This Year.

Five dates decide how January goes. Miss the early ones and you negotiate from the back of the line.

NOW
Audit 10 labor charts. Build your global-vs-unbundled model.
OCT 2026
Test modifier TH on live claims and track how payers respond.
OCT 31 2026
Send renegotiation notice to your top 3 OB payers.
NOV 2026
CMS publishes final RVU values. Refresh your model.
JAN 1 2027
New codes go live. The global code is deleted.

Wait until December and you join a crowded renegotiation queue. Payer calendars fill up in Q4.

Yours to keep

You Leave With the Tools, Not a Pitch.

Everything we cover is yours to use regardless of who manages your billing. Registrants receive the full set after the session.

2027 CPT Reference Guide

Every new code, the six labor criteria, and the documentation rules in one printable reference.

Revenue Exposure Worksheet

Model your global revenue against the new codes so you walk into renegotiations with a number.

Session Recording

The full walkthrough to share with your billing team and the providers who could not attend.

Readiness Checklist

A short action checklist your team can work through before January 1, 2027.

Your hosts

A Physician and a Coder, in the Same Room.

The change explained by people who live it, what it means for your revenue and exactly how to document it.

Dr. Heather Signorelli, DO

Founder · Physician Advisor

A practicing physician who frames the change around what it means for your bottom line.

Stephanie Hilliard, CPC

Certified Professional Coder · Session Lead

E/M and documentation. She translates the guidelines into language a clinician can actually type at the end of a visit.

Meet your hosts

The Physician and the Coder, Up Close.

Two people who live this work every day, ready to walk it line by line.

Dr. Heather Signorelli, DO

Dr. Heather Signorelli, DO

Founder · Physician Advisor

A practicing DO who founded NatRevMD after watching what bad revenue cycle work costs independent practices from the inside. In this session she frames what the January 1 change actually means at the bedside and on the P&L, in language that does not require a coding certification.

Doctor of Osteopathic Medicine Founder, NatRevMD Physician-led RCM
Stephanie Hilliard, CPC

Stephanie Hilliard, CPC

Certified Professional Coder · Session Lead

Stephanie works E/M documentation and level integrity day to day. She translates the guidelines into language a clinician can actually type at the end of a visit, and she built the P.R.O.V.E. framework this session is organized around.

CPC · Certified Professional Coder E/M and documentation P.R.O.V.E. framework
Who should attend

Built for Independent OB/GYN Practices.

If your practice bills maternity care and wants to protect revenue through this transition, this session is for your whole team.

+Physician owners +Practice managers +Billing and coding leads +Administrators +Medical directors
Save my seat · September 30, 5:00 PM CST