This course walks you through coding for the rest of 2026 — and into the world that comes after.

For thirty years, 59400 and the other global maternity codes have been the backbone of how midwives bill maternity care. On January 1, 2027, they're gone — the biggest restructure of maternity billing in three decades. 

BfM's Transition to a Post-59400 World is your guide through it. The course teaches the coding and charting skills you'll need to navigate the transition and thrive on the other side: choosing the right E and M code family for where you see clients, deciding when to use the TH modifier, picking the right level with time-based billing, and building the charting habits that support the code you choose. 

Note: New lessons will be added throughout 2026, so the course keeps pace with the change instead of waiting for it to settle. 

Whether this shift helps or hurts your practice depends a great deal on how you prepare — Billing for Midwives is here to help guide your practice to the best outcome possible.

Course curriculum

  • 01
    What's Going On?
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    • Usage Agreement for Course Materials
    • The Biggest Change to Maternity Billing Since Last Century
    • Transition Navigation Tools
    • HiveCE Transition Navigation Chart (Printable PDF)
  • 02
    2026-2027 Transition: Antepartum Billing
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    • Antepartum Transition Overview
    • Office or Other Outpatient E/M Code Family vs Home Services E/M Code Family
    • To TH or Not To TH?
    • E/M Code Sets and Levels
    • Time Based Billing
    • Best Practices for E/M Coding
    • Get Ready for 2027 with Billing for Midwives

Course Access Options

  • Billing for Midwives All Access (or Extended Access)

    This course is included with BfM All Access (and Extended Access). New enrollees in BfM All Access will have access to this course instantly upon enrollment. If you want access to all Billing for Midwives courses, enroll through the purple buttons at the bottom of this page. Questions? Email [email protected].

  • Organizational Membership

    Are you a member of a midwifery organization that has an Organizational Membership with HiveCE? If so, free access to this course through January 1, 2027 is included with your membership benefits. The button to enroll via this method is at the top of this page, in orange.

  • Free Access for All through 5/31/26

    Due to the short timeframe between the end-of-April announcement and the mid-May rollout, free access is available to all through 5/31/26. (After 5/31/26, you'll need to gain access through one of the other methods.)

Billing for Midwives All Access

Access to ALL Billing for Midwives courses, plus one 30 min private Zoom consult per month. Cancel anytime at https://www.hivece.com/account/billing