CommercialBilling CodesMedium impact
Review of Prenatal and Postpartum CPT II Codes
Florida Blue·FL · OB-GYN, Family Medicine·Coding
We identified it
Jun 16, 2026
Summary
Florida Blue is encouraging providers to use CPT II codes (0500F, 0501F, 0502F, 0503F) for prenatal and postpartum care to help close care gaps and reduce HEDIS chart requests. These codes are billed alongside regular CPT codes but have no fee schedule attached.
Action Required
Immediately: Billing team should update encounter forms and EMR templates to include CPT II codes 0500F, 0501F, 0502F, and 0503F for prenatal and postpartum visits. Train providers to document these codes alongside regular E/M codes. Contact qualitycaregapquestions@bcbsfl.com for questions about member care gaps.