H1004 HCPCS Level II code: Prenatal care, at-risk enhanced service; follow-up home visit
H1004 is the HCPCS code for “Prenatal care, at-risk enhanced service; follow-up home visit” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
H1004Prenatal care, at-risk enhanced service; follow-up home visit
Short description: Follow up home visit/prental
HCPCS · United States
Medicare details
The indicators CMS publishes with H1004 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 H1004 sits
- 1H codesBehavioral health and substance use services
- 2Active code H1004Prenatal care, at-risk enhanced service; follow-up home visit
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 H1004 mean?
H1004 is the HCPCS code for “Prenatal care, at-risk enhanced service; follow-up home visit” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover H1004?
CMS lists H1004’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 H1004
All H codesH0052Missing 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 coordinationH1003Prenatal care, at-risk enhanced service; educationH1005Prenatal 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 dayH2010Comprehensive medication services, per 15 minutes