H1002 Carecoordination prenatal
Also known as: care coordination, case management, pregnancy coordination
Care coordination and case management services for pregnant women linking medical, behavioral health, and social services.
In Plain Language
pregnancy care manager; health coordinator
Clinical Context
Used for case management and care coordination services organizing and integrating prenatal care, mental health, and social support for pregnant women.
RVU Information
CPT H1002 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.
Specialties
Frequently Asked Questions
What is CPT code H1002?
CPT H1002 (Carecoordination prenatal) is a Other HCPCS code. Care coordination and case management services for pregnant women linking medical, behavioral health, and social services.
Does Medicare cover H1002?
Medicare coverage for H1002 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for case management and care coordination services organizing and integrating prenatal care, mental health, and social support for pregnant women. A physician order is typically required.
When is CPT H1002 used?
Used for case management and care coordination services organizing and integrating prenatal care, mental health, and social support for pregnant women.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.