New Coding Policy for Lactation Support Services Effective June 26, 2025
AI Summary
A new Clinical Payment and Coding Policy CPCP043 for Lactation Support Services will be implemented effective June 26, 2025, providing updated coding guidance for lactation services during antenatal, perinatal, and postpartum periods. This policy establishes appropriate billing and coding requirements for these services.
Action Required
By June 26, 2025: Billing team must review and implement new Clinical Payment and Coding Policy CPCP043 for lactation support services. Update billing software and encounter forms to reflect new coding guidance for antenatal, perinatal, and postpartum lactation services. Always verify eligibility and benefits through Availity Essentials before rendering services to confirm any prior authorization requirements.
Plan Types
All Plans
States
TX
Specialties
ob-gyn, family-medicine, pediatrics