Payment in Practice: 2026 Ob-gyn Coding Manual

Payment in Practice: 2026 Ob-Gyn Coding Manual serves as the primary billing and coding resource for obstetrician–gynecologists and their staff. For 2026, the manual has been updated with input from physicians and coders to enhance usability and provide unique billing information tailored for ob-gyn practices. The coding material is organized by systems and includes updates relevant to 2026. The material can be used for billing, coding, preauthorization requirements, claims appeals, and more. Additionally, the appendices include tables for quick reference of the coding guidelines in this manual. The manual follows established CPT guidelines and includes Medicare guideline information for accurately reporting medical procedures. It represents the expert opinions of ACOG staff and members of the ACOG Committee on Health Economics and Coding about the specific services included (or not included) in each ob-gyn procedure code listed. What’s new in the 2026 edition: • ACOG Board of Directors’ Statement of Policy on Payment for Obstetricians and Gynecologists to help you prepare for the 2027 obstetric code changes • The finalized 2026 Medicare Physician Fee Schedule relative value units, including efficiency adjustments • Latest analysis and a resource for the most up-to-date information related to Congressional action to improve relative value units in 2026
 

The American College of Obstetricians & Gynecologists (ACOG) is the leading professional membership organization for ob-gyns. For nearly 75 years, ACOG has set the standard for ob-gyn care and advocated for policies that advance the field and empower ob-gyns to provide patients with the care they need. With more than 62,000 members, ACOG equips clinicians with expert-reviewed clinical guidance, practice management tools, career development resources, and lifelong professional education, and creates trusted, accessible information for patients. ACOG champions ob-gyns in providing equitable, evidence-based care for patients today and into the future. Learn more about ACOG at acog.org.