T1033, Services performed by a doula birth worker, per diem
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- No specific documentation requirements, medical records, test results, or clinical documentation are specified in this excerpt.
- The document notes that certification is available through various organizations (possible relevant documentation), but it does not explicitly require submission of certification or other documentation for coverage.
- No documentation requirements, specific medical records, test results, or clinical documentation are specified in the provided text
- Documentation to support medical necessity is required to obtain approval for additional visits or delivery attendances beyond the standard limits (implied requirement).
Key Coverage Criteria
- Working alongside healthcare providers to support the overall well-being of the birthing person.
- Support for birthing individuals (pregnancy, labor, delivery and immediate postpartum) to reduce maternal stress and enhance comfort
- Labor and delivery support to improve communication between birthing individuals and healthcare providers
- Prenatal support and education to improve breastfeeding initiation and preparation for birth
- Intrapartum support intended to reduce cesarean and preterm birth rates and shorten labor
- Postpartum support to reduce maternal pain, anxiety and potentially lower rates of maternal and perinatal complications
1 Active Policy
HUMANA-DOULA-SERVICES-VA-MEDICAID, Doula Services
Related Codes
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