Billing for Midwives
CPT 59400 is being retired in 2027. What do the maternity billing changes mean for midwives?
Billing for Midwives is here to help you navigate this transition.
The biggest shift in maternity billing in 30 years is here.
Is CPT 59400 really going away?+
Yes, really. On January 1, 2027, CPT 59400 is being retired, along with all other bundled maternity codes, including 59425, 59426, and 59430.
Are CPT 59409 and 59410 going away?+
Yes, those are also going away. They will be replaced with new delivery-only codes, and new codes for a new category: labor management.
When do the changes take effect?+
January 1, 2027, but the transition affects antepartum billing and financial agreements in 2026.
Which maternity CPT codes are affected?+
A total of 16 maternity codes will be deleted. New codes, within a new framework of maternity billing, will replace them.
What's replacing them?+
New codes for labor management and delivery, and E/M codes for antepartum and postpartum.
Does this affect home birth and birth center billing?+
If you bill insurance for maternity care, yes. This is about the codes themselves, not the place of service.
Do I need to redo my fee schedule?+
That depends — do you already have a fee schedule by CPT code, based on logic and balanced such that the parts of the whole make sense? If not, you need to create one right away. Setting and Updating Your Fees includes tools to help you do just that. Either way, you'll need to update your fee schedule again for 2027. A new version of Setting and Updating Your Fees for 2027 will be available when that time comes. Having a schedule by CPT code in 2026 will make that easier, and is required in order to bill insurance during the transition time that is the rest of 2026.
Is this an evil plot against midwives?+
Not at all! In fact, codes for Cesarean and procedures that community midwives never perform are also being deleted. This change is about ALL maternity care, regardless of provider type.
Need guidance on how to bill for the rest of 2026? That's exactly what Transition to a Post-59400 World walks you through.
Every Billing for Midwives course, every way to access them.
Billing for Midwives is a dynamic library. Some courses are free for a window through partner organizations, some are available à la carte, and everything is included in All Access. Here's the full picture at a glance.
| Course | Magic Calculator Toolsincluded | Free Org Member accesslimited window | À la cartebuy individually | CE approvedtype & hours | All Accesseverything included |
|---|---|---|---|---|---|
| Billing for MidwivesNote: This original flagship course will be replaced in Winter 2026/2027 with Billing for Midwives in 2027 and Beyond. | ✓ | ||||
|
Transition to a Post-59400 World Updated June 2026Course available now, and additional content added throughout 2026. |
✓ | ||||
|
Setting and Updating Your Fees (2026) Updated March 2026 |
✓ | ||||
|
Safe(r) Discounts (2026) Updated September 2026 |
✓ | ||||
| Fourth Trimester BillingCreated 2024, information effective through 12/31/2026. | ✓ | ||||
| Navigating NPIs | ✓ | ||||
| Billing for Doula Services | ✓ | ||||
| Intrapartum Labor Care Prior to Transfer | ✓ | ||||
| Mind the GAP Exception | ✓ | ||||
| How Do I Bill For...? | ✓ | ||||
| Community Birth Billing Survey Results | ✓ |
Magic Calculator Tools — interactive tools that crunch your numbers for you, included with the course
Free Org Member access — free for a limited window for members of a midwifery organization with a HiveCE Organizational Membership
Through a HiveCE Organizational Membership
Organizational Member bonuses for 2026: Members of partner organizations get free access to select courses during a limited window.
Organizations with HiveCE Memberships →À la carte
Not ready for a subscription? Some courses are available individually!
Browse à la carte courses →All Access
Every course and every tool in the Billing for Midwives library — for one subscription. Cancel anytime — easy and straightforward (really!)
See membership details →What participants say
Plethora of Information on Billing! Jesica has provided so much valuable information to all midwives. Videos, PDFs and many resources. I can't imagine how much time and energy she put into this class. I highly recommend this course if you're interested in billing insurance or even to know the logistics to the world of insurance. Thank you so much Jesica for your hard work. Blessings to you!Erin Ashley
I loved this course. I'm not a numbers or paperwork person, and this course broke billing down into easy steps and made it mostly non-intimidating and comprehensible. Nicely done.Heidi Horner
Love the course! Very thorough, yet presented in a way that was not overwhelming. Very easy to understand, well organized and easy to work through at my own pace.Cori Lively
Frequently asked questions
What's included in All Access?+
Every Billing for Midwives course, along with the Magic Calculator Tools. As new content is released, updates are included.
How much does All Access cost?+
$29 a month, or $299 a year (which saves you $49). And if you joined earlier at a lower price, that price stays locked in for the life of your subscription.
Can I cancel anytime?+
Yes. You can cancel anytime from your billing page — it's easy and straightforward (really!).
What can I buy individually instead of subscribing?+
At the moment, two courses are available à la carte: Setting and Updating Your Fees and Safe(r) Discounts. Everything else is available through All Access.
Which courses offer CE?+
At the moment, three do — Setting and Updating Your Fees, Safe(r) Discounts, and Fourth Trimester Billing. The CE type and hours for each are shown in the grid above.
What happens to the original flagship course?+
The original Billing for Midwives course will be replaced in Winter 2026/2027 with Billing for Midwives in 2027 and Beyond.
How does free access through my midwifery organization work?+
If your midwifery organization holds a HiveCE Organizational Membership, you get free access to select courses for a limited window. The grid above shows which courses, and the dates. For access information, contact your midwifery organization directly.
What if I have questions not answered here?+
Email [email protected].
You don't have to navigate 2027 alone.
Start preparing your practice today.
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