APA WF #26-12 Obstetric Unbundling
These policy changes are currently approved as emergency rules and are being proposed as permanent rules.
The proposed policy changes revise billing policy for obstetric services to align with upcoming changes to the Current Procedural Terminology (CPT) codes. CPT codes, which are maintained by the American Medical Association (AMA), are the foundation of claims-based billing used in fee-for-service healthcare delivery model. The AMA has proposed comprehensive changes to the way maternity and obstetric services are billed and reimbursed. Currently, obstetric services are billed and reimbursed using a single bundled code. The bundled code will be discontinued on January 1, 2027. The AMA is developing and revising codes for each obstetric service. The proposed policy changes update billing guidance to reflect the new obstetric billing structure.
Please view the draft regulatory text here.
Pursuant to 75 O.S. § 303(D), a rule impact statement will be posted here beginning October 16, 2026. Individuals may also request a copy using the comment box, and the statement will be provided on October 16, 2026.
Comments may be submitted via the comment box or to federal.authorities@okhca.org.
Circulation Date: October 1, 2026
Comment Due Date: November 2, 2026
Public Hearing: November 2, 2026
OHCA Board Date: December 9, 2026
Proposed Effective Date: September 1, 2027
Submit a Comment
After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.
Please note that all comments must be reviewed and approved prior to posting.
