GE IS200TBCIS2CCD contact input module
Technical data of product parameters
Maryland Department of Health submitted a request to establish a new HCPCS Level II code IS200TBCIS2CCD
to identify doula birth worker attendance at labor and delivery. This code would cover birth
worker attendance and services during birth, whether vaginal or caesarian, live or stillbirth.
Services provided during labor and delivery may include emotional support as well as
physical comfort measures to the individual and their partner while giving birth that are not IS200TBCIS2CCD
clinical interventions. This service can only be conducted while a qualifying attending
provider (e.g., Obstetrician-Gynecologist, Family Medicine Practitioner, or Certified Nurse
Midwife) is also in attendance during the birthing process. Many states are now reimbursing
doula birth workers through Medicaid for physical, emotional and psychosocial support
throughout the perinatal period. However, codes used in other states for attendance at labor
and delivery, such as CPT® codes 59400 and 59409 are obstetric codes meant to be used by
clinical provider types while CPT® codes 99199 and 99499 are unlisted codes meant to
capture other medical services or evaluation by physicians. Upon further analysis of HCPCS
codes, Maryland wa s unable to find a suitable code that adequately captures the function of IS200TBCIS2CCD
this service without making substantial coding edits to accommodate this new provider type
and will be using a home-grown HCPCS code in the interim while requesting a new code be
created as more states seek to reimburse this serviceFrom prior experience, Medicaid agencies have indicated interest in options to make payment
using per diem and time-based codes. Individual state Medicaid agencies have the flexibility
to further define doula birth worker services by assigning one or more state defined HCPCS
modifiers in the U1 through U9 series.
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Introduction to main products
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