H1005 Prenatalcare enhanced srv pk
Also known as: comprehensive prenatal, enhanced services, prenatal package
Prenatal care services enhanced service package including comprehensive support addressing medical, behavioral, and social needs.
In Plain Language
full pregnancy care package; comprehensive pregnancy support
Clinical Context
Used for comprehensive enhanced prenatal care packages combining medical management, behavioral health, education, and social support services.
RVU Information
CPT H1005 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 H1005?
CPT H1005 (Prenatalcare enhanced srv pk) is a Other HCPCS code. Prenatal care services enhanced service package including comprehensive support addressing medical, behavioral, and social needs.
Does Medicare cover H1005?
Medicare coverage for H1005 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive enhanced prenatal care packages combining medical management, behavioral health, education, and social support services. A physician order is typically required.
When is CPT H1005 used?
Used for comprehensive enhanced prenatal care packages combining medical management, behavioral health, education, and social support services.
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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.