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How to Report Confirmation of Pregnancy: Review of Prenatal CPT II Codes

Florida Blue·FL · OB-GYN, Family Medicine·Coding
Effective date
Not stated
We identified it
Jun 16, 2026
Days to comply
—

Summary

Florida Blue is emphasizing the use of CPT II code 0500F to report initial prenatal care visits and confirmation of pregnancy. This helps close prenatal care gaps, reduces administrative work, and connects patients to maternity programs.

Action Required

Action needed
Immediately: Billing team should ensure CPT II code 0500F is reported at first prenatal encounters with obstetrical care providers. Include visit date and last menstrual period (LMP) date in separate field. Update encounter forms to remind OB providers to document this information. Contact qualitycaregapquestions@bcbsfl.com for questions about patients with open prenatal care gaps.

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