H1003 HCPCS code: Prenatal care, at-risk enhanced service; education
H1003 is the HCPCS Level II code for prenatal care, at-risk enhanced service; education. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | H codes — Alcohol and drug abuse treatment services |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
What changed for H1003
- 2002-01-01: H1003 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code H1003?
H1003 is the HCPCS Level II code for prenatal care, at-risk enhanced service; education. Short descriptor: "Prenatal at risk education".
Does Medicare cover H1003?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related H10 codes
- H1000 — Prenatal care, at-risk assessment
- H1001 — Prenatal care, at-risk enhanced service; antepartum management
- H1002 — Prenatal care, at risk enhanced service; care coordination
- H1004 — Prenatal care, at-risk enhanced service; follow-up home visit
- H1005 — Prenatal care, at-risk enhanced service package (includes h1001-h1004)
- H1010 — Non-medical family planning education, per session
- H1011 — Family assessment by licensed behavioral health professional for state defined purposes
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Next steps
- Run a reimbursement report for a device billed under H1003
- Watch H1003 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H1003
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.