Question 1

What is HCPCS code H1001?

Accepted Answer

HCPCS code H1001 is "Antepartum management". Prenatal care, at-risk enhanced service; antepartum management

Question 2

What category is H1001 in?

Accepted Answer

H1001 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H1001?

Accepted Answer

Use H1001 when billing for antepartum management. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is H1001 covered by Medicare?

Accepted Answer

Coverage for H1001 (Antepartum management) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for H1001?

Accepted Answer

Documentation for H1001 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).