Important update: Maternity Care coding and billing.
WPS is preparing for significant changes to maternity care that will take effect January 1, 2027
The American Medical Association (AMA) has approved revisions to the CPT code set for maternity care services that will replace the current global maternity care codes with per-encounter reporting for prenatal/antepartum, labor management, delivery and postpartum services. Beginning January 1, 2027, prenatal/antepartum care must be billed using the appropriate Evaluation and Management (E/M) code for each visit.
To support a smooth transition and allow our provider network and billing partners time to prepare, WPS is requesting that providers begin reporting prenatal/antepartum visits using the appropriate E/M codes for dates of service on or after September 1, 2026. Modifier TH (obstetrical treatment/services, prenatal or postpartum) should be appended to each qualifying visit.
This early transition is intended to help providers and WPS prepare for the AMAs CPT 2027 maternity care changes.
For more details on our new provider portal, visit our Family Care Providers.
Reminder: To register for access to the provider portal, you need the following information from one of your remittances from the past 30 days:
Our customers (members/participants) depend on you for top-quality health care, which is why WPS works closely with providers. We truly value our relationships with our health care providers and appreciate your participation in our network and the care you provide to our customers (members/participants).
If you are a contracted provider, you can log in to access our provider portal. The portal delivers real-time access to claim status, eligibility, network, secure messaging, and more.
