Allowed amounts for selected birthing center and evaluation & management procedure codes
This reimbursement/payment policy lists allowed base fee schedule amounts for specified birthing center and evaluation & management CPT/HCPCS procedure codes and applies to Florida Blue's fee schedule effective 1/1/2026.
No material clinical or coverage changes in this revision.
Allowed Amounts / Coverage Criteria
Procedure Codes and Fee Schedule Representation
| 59400 | Birthing center procedure |
| 59409 | Birthing center procedure |
| 59410 | Birthing center procedure |
| 59425 | Birthing center procedure |
| 59426 | Birthing center procedure |
| 59430 | Birthing center procedure |
| 76805 | Ultrasound procedure listed in birthing center section |
| J2790 | Injection drug code listed in birthing center section |
| S4005 | Birthing center service code |
| 99202 | Office or other outpatient visit, new patient |
| 99203 | Office or other outpatient visit, new patient |
| 99204 | Office or other outpatient visit, new patient |
| 99205 | Office or other outpatient visit, new patient |
| 99211 | Office or other outpatient visit, established patient |
| 99212 | Office or other outpatient visit, established patient |
| 99213 | Office or other outpatient visit, established patient |
| 99214 | Office or other outpatient visit, established patient |
| 99215 | Office or other outpatient visit, established patient |
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