H1004 Follow up home visit/prental
Also known as: home visit, postpartum visit, perinatal home care
Follow-up home visit services provided to pregnant women in the postpartum or perinatal period.
In Plain Language
home health visit; postpartum check-up
Clinical Context
Used for home-based follow-up care and assessment in the immediate postpartum period providing maternal and infant monitoring and support.
RVU Information
CPT H1004 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 H1004?
CPT H1004 (Follow up home visit/prental) is a Other HCPCS code. Follow-up home visit services provided to pregnant women in the postpartum or perinatal period.
Does Medicare cover H1004?
Medicare coverage for H1004 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for home-based follow-up care and assessment in the immediate postpartum period providing maternal and infant monitoring and support. A physician order is typically required.
When is CPT H1004 used?
Used for home-based follow-up care and assessment in the immediate postpartum period providing maternal and infant monitoring and support.
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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.