Doula Insurance Code With Rejection Examples

Pregnancy and Postpartum Care for Everyone

Insurance codes for doulas can vary depending on the country and the insurance provider. In the United States, for example, there are specific billing codes used for reimbursement through Medicaid and private insurance companies. Here are some common codes and information that might be relevant:

  1. CPT (Current Procedural Terminology) Codes:
    • There is no specific CPT code solely for doula services, but doulas might use other related codes for services provided. For instance, some doulas might use codes related to education, counseling, or labor support.
    • S9442: Birthing classes, non-physician provider, per session.
    • 99499: Unlisted evaluation and management service (this is a more general code that might be used if a specific code for doula services is not available).
  2. HCPCS (Healthcare Common Procedure Coding System) Codes:
    • S9443: Lactation classes, non-physician provider, per session.
    • T1015: Clinic visit/encounter, all-inclusive (this can sometimes be used for community-based doula programs).