H1003 HCPCS Level II code: Prenatal care, at-risk enhanced service; education
H1003 is the HCPCS code for “Prenatal care, at-risk enhanced service; education” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
H1003Prenatal care, at-risk enhanced service; education
Short description: Prenatal at risk education
HCPCS · United States
Medicare details
The indicators CMS publishes with H1003 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2002
Where H1003 sits
- 1H codesBehavioral health and substance use services
- 2Active code H1003Prenatal care, at-risk enhanced service; education
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code H1003 mean?
H1003 is the HCPCS code for “Prenatal care, at-risk enhanced service; education” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover H1003?
CMS lists H1003’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside H1003
All H codesH0051Traditional healing serviceH0052Missing and murdered indigenous persons (mmip) mental health and clinical careH0053Historical trauma (ht) mental health and clinical care for indigenous personsH1000Prenatal care, at-risk assessmentH1001Prenatal care, at-risk enhanced service; antepartum managementH1002Prenatal care, at risk enhanced service; care coordinationH1004Prenatal care, at-risk enhanced service; follow-up home visitH1005Prenatal care, at-risk enhanced service package (includes h1001-h1004)H1010Non-medical family planning education, per sessionH1011Family assessment by licensed behavioral health professional for state defined purposesH2000Comprehensive multidisciplinary evaluationH2001Rehabilitation program, per 1/2 day