`H1010` Nonmed family planning ed

Non-medical family planning education, per session

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for H1010

Physician Fee Schedule (CY 2026, RVU26D)

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

Payer policies and prior authorization for H1010

1 of 1 payer prior-auth lists that name H1010 require prior authorization or set conditions: Molina Healthcare of California.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Molina Healthcare of California	Medicaid	CA	prior auth required	State exception	Apr 1, 2026	Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026

Payer coverage policies that name H1010

H1010 appears in 2 coverage policies from Aetna, Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Attention Deficit/Hyperactivity Disorder (0426)	not covered	Jul 7, 2026	payer document
Premera Blue Cross	Non-covered Services and Procedures Page \| 16 of 30 \| ∞	not covered	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

ND: $0.00 (physician), effective Aug 1, 2026
OH: $24.20 (physician), effective Jul 1, 2009
TX: $11.88 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Oct 1, 2014

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.

H1010 Nonmed family planning ed