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PAP304 - Prenatal and Postpartum Care Coding for HEDIS Quality - New

Blue Cross of Idaho·ID · OB-GYN, Family Medicine, Internal Medicine·Coding
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho has introduced new coding guidelines for prenatal and postpartum care to support HEDIS quality measures. The policy establishes specific documentation requirements and billing codes for prenatal visits (first 12 weeks of pregnancy) and postpartum visits (7-84 days after delivery) to ensure proper quality measure reporting.

Action Required

Action needed
Immediately: Providers must ensure prenatal visits within first 12 weeks of pregnancy or within 42 days of enrollment include comprehensive documentation (pregnancy flow sheet, ACES assessment, LMP, EDD, gestational age, positive pregnancy test, gravidity/parity, obstetrical history, risk assessment, physical exam with fetal heart tones or pelvic exam, and prenatal procedures). For postpartum visits (7-84 days after delivery), document postpartum care notation plus at least one required element (cervical cytology, pelvic exam, weight/BP evaluation, breast/abdomen evaluation, incision check, depression screening, or family planning discussion). Use appropriate CPT codes for bundled services or stand-alone visits with pregnancy diagnosis codes to support HEDIS quality measure reporting.

Affected Billing Codes

59400
59425
59426
59510
59610
59618
H1005
99500
H1000
H1001
H1002
H1003
H1004
99201
99202
99203
99204
99205
99211
99212
99213
99214
99215
99241
99242
99243
99244
99245
99483
T1015
G0463
59410
59515
59614
59622
88141
88142
88143
88147
88148
88150
88152
88153
88154
88164
88167
88174
88175
G0123
G0124
G0141
G0143
G0144
G0145
G0147
G0148
P3000
P3001
Q0091