S4005 Interim labor facility globa

Interim labor facility global (labor occurring but not resulting in delivery)

Medicare pricing for S4005

Physician Fee Schedule (CY 2026, RVU26D)

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

Payer policies and prior authorization for S4005

Medicaid fee-for-service

  • FL: $202.56 (birth_center, non-facility), effective Jan 1, 2025
  • IN: $292.18 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • OH: $223.55 (physician), effective Jan 1, 2012
  • TX: $603.50 (birthing_center, Birthing Center, non-facility), effective Jul 1, 2014
  • WA: $366.68 (physician, 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.