H1000 Prenatal care atrisk assessm

Prenatal care, at-risk assessment

Medicare pricing for H1000

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for H1000

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • FL: $40.00 (midwife, non-facility), effective Jan 1, 2026
  • IL: $14.60 (practitioner), effective Jul 1, 2026
  • KS: $18.00 (default), effective Jan 1, 2002
  • ND: $97.27 (physician), effective Aug 1, 2026
  • OH: $12.10 (physician), effective Jul 1, 2003
  • OK: $28.10 (physician, non-facility), effective Jul 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.