H1004 – Prenatal care, at-risk enhanced service; follow-up home visit
HCPCS Level II code · H codes: Alcohol and Drug Abuse Treatment Services
HCPCS codeH1004
- Long description
- Prenatal care, at-risk enhanced service; follow-up home visit
- Short description
- Follow up home visit/prental
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- January 1, 2002
- Last change
- January 1, 2002 – No change
Frequently asked questions
What is HCPCS code H1004?
H1004 is a HCPCS Level II code for prenatal care, at-risk enhanced service; follow-up home visit.
Does Medicare cover H1004?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby H codes
- H0050 – Alcohol and/or drug services, brief intervention, per 15 minutes
- H0051 – Traditional healing service
- H0052 – Missing and murdered indigenous persons (mmip) mental health and clinical care
- H0053 – Historical trauma (ht) mental health and clinical care for indigenous persons
- H1000 – Prenatal care, at-risk assessment
- H1001 – Prenatal care, at-risk enhanced service; antepartum management
- H1002 – Prenatal care, at risk enhanced service; care coordination
- H1003 – Prenatal care, at-risk enhanced service; education
- 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
- H2000 – Comprehensive multidisciplinary evaluation
- H2001 – Rehabilitation program, per 1/2 day
- H2010 – Comprehensive medication services, per 15 minutes
- H2011 – Crisis intervention service, per 15 minutes
- H2012 – Behavioral health day treatment, per hour
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.