H1005 HCPCS Level II Code: Prenatal care, at-risk enhanced service package (includes
Medicare Coverage & Payment
- CMS short descriptor: Prenatalcare enhanced srv pk
- Medicare coverage: Not payable by Medicare (CMS coverage code I)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2002
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official HCPCS Level II record. The tabular instructional notes themselves appear verbatim below.
Contextual Map
Every relationship of H1005 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes
- H1000 — Prenatal care, at-risk assessment[Sibling]— CMS HCPCS Level II code set
- H1001 — Prenatal care, at-risk enhanced service; antepartum management[Sibling]— CMS HCPCS Level II code set
- H1002 — Prenatal care, at risk enhanced service; care coordination[Sibling]— CMS HCPCS Level II code set
- H1003 — Prenatal care, at-risk enhanced service; education[Sibling]— CMS HCPCS Level II code set
- H1004 — Prenatal care, at-risk enhanced service; follow-up home visit[Sibling]— CMS HCPCS Level II code set
- H1010 — Non-medical family planning education, per session[Sibling]— CMS HCPCS Level II code set
- H1011 — Family assessment by licensed behavioral health professional for state defined purposes[Sibling]— CMS HCPCS Level II code set
Change history
- January 1, 2002 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2002Added to the code setPrenatal care, at-risk enhanced service package (includes h1001-h1004)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to H1005 in its code family, with their registry titles.
- H1000 — Prenatal care, at-risk assessment
- H1001 — Prenatal care, at-risk enhanced service; antepartum management
- H1002 — Prenatal care, at risk enhanced service; care coordination
- H1003 — Prenatal care, at-risk enhanced service; education
- H1004 — Prenatal care, at-risk enhanced service; follow-up home visit
- H1010 — Non-medical family planning education, per session
- H1011 — Family assessment by licensed behavioral health professional for state defined purposes