Question 1

What is HCPCS code H1002?

Accepted Answer

HCPCS code H1002 is "Carecoordination prenatal". Prenatal care, at risk enhanced service; care coordination

Question 2

What category is H1002 in?

Accepted Answer

H1002 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H1002?

Accepted Answer

Use H1002 when billing for carecoordination prenatal. 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 H1002 covered by Medicare?

Accepted Answer

Coverage for H1002 (Carecoordination prenatal) 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 H1002?

Accepted Answer

Documentation for H1002 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).