CPT® Medical Coding for Maternal-Fetal Medicine, 2026 Edition

Maternal-fetal medicine (MFM) practices face evolving clinical and administrative demands, including accurate coding for complex prenatal care. This manual is designed for MFM subspecialists, coders, and administrative staff who bill for office visits, procedures, tests, and other services related to high-risk obstetrics. Updated periodically by SMFM’s Coding Committee to reflect changes in Current Procedural Terminology (CPT®) and guidance published by the American Medical Association, this edition highlights key updates most relevant to MFM, including new codes for telemedicine and genetic counseling and detailed instruction on using 76811 to bill for first-trimester detailed ultrasound examinations.

This manual highlights selected CPT codes and service/procedure descriptions that are frequently used by our membership. The listing of CPT services or procedure descriptions and their code numbers in this publication does not restrict their use to any particular group of physicians. The manual is organized for quick reference across seven chapters: evaluation and management (E/M); obstetric care; ultrasound; surgical care; miscellaneous procedures and services; and modifiers, plus a chapter devoted to SMFM’s latest Coding Tips. Each section pairs code descriptions with practical notes, documentation reminders, and common billing scenarios to support accurate claims submission and compliance. As always, users should confirm payer specific policies and apply professional judgment when integrating
these recommendations into practice.

After purchase, you will be able to access the CPT Medical Coding fo Maternal-Fetal Medicine Manual while logged in to SMFM.org. The link to access the manual will be provided in your purchase confirmation.