EBOOK
About
Code it right. Get paid. Pass the audit.
On January 1, 2027 the global maternity package retires. Every prenatal visit, every day of labor, every birth and every postpartum visit is now billed on its own, and every one of those claims has to stand up to a payer's review. The Midwifery Coding Book is the first coding reference written for the people who actually do this work: midwives, birth centers, advanced birth centers, doulas, lactation consultants and the billing teams who support them.
Every code includes a plain-language explanation of when to use it, the official HCPCS or diagnosis wording, a "To get paid" checklist of what the claim and chart must show, and an "Audit check" listing exactly what a payer reviewer will look for.
Inside you'll find:
• 2026 and 2027 maternity codes side by side, with a crosswalk for pregnancies that span the change
• Prenatal, labor and birth, postpartum, newborn, lab, medication and well-woman codes
• Birth center facility billing: UB-04 fields, revenue codes, transfers and the facility scenarios beyond the birth
• A full chapter on advanced birth centers: trial of labor after cesarean, planned cesarean, anesthesia and facility codes
• Doula, lactation and childbirth education codes, including Medicaid doula billing
• All 2,600+ billable pregnancy, newborn, gynecology and social-needs diagnosis codes
• Denial reason codes and how to fix them
• An internal audit system with scoring, high-risk areas and a worksheet you can copy
• Worked examples and a denial-prevention checklist
Written by Sicily Gibb, a former midwife who manages the maternity division of Best Way Medical Billing, a company that handles billing, credentialing and practice support for midwives, birth centers, doulas and lactation consultants nationwide.
Current as of October 2026. This book is an educational reference, not legal or reimbursement advice. Always confirm codes and payer policies before billing.
On January 1, 2027 the global maternity package retires. Every prenatal visit, every day of labor, every birth and every postpartum visit is now billed on its own, and every one of those claims has to stand up to a payer's review. The Midwifery Coding Book is the first coding reference written for the people who actually do this work: midwives, birth centers, advanced birth centers, doulas, lactation consultants and the billing teams who support them.
Every code includes a plain-language explanation of when to use it, the official HCPCS or diagnosis wording, a "To get paid" checklist of what the claim and chart must show, and an "Audit check" listing exactly what a payer reviewer will look for.
Inside you'll find:
• 2026 and 2027 maternity codes side by side, with a crosswalk for pregnancies that span the change
• Prenatal, labor and birth, postpartum, newborn, lab, medication and well-woman codes
• Birth center facility billing: UB-04 fields, revenue codes, transfers and the facility scenarios beyond the birth
• A full chapter on advanced birth centers: trial of labor after cesarean, planned cesarean, anesthesia and facility codes
• Doula, lactation and childbirth education codes, including Medicaid doula billing
• All 2,600+ billable pregnancy, newborn, gynecology and social-needs diagnosis codes
• Denial reason codes and how to fix them
• An internal audit system with scoring, high-risk areas and a worksheet you can copy
• Worked examples and a denial-prevention checklist
Written by Sicily Gibb, a former midwife who manages the maternity division of Best Way Medical Billing, a company that handles billing, credentialing and practice support for midwives, birth centers, doulas and lactation consultants nationwide.
Current as of October 2026. This book is an educational reference, not legal or reimbursement advice. Always confirm codes and payer policies before billing.