Prenatal education

Applies to members of:

All plans, except self-funded plans with a Maternity exclusion for dependents

Clinical Practice Guideline

Routine maternity services coverage

Routine maternity services are not synonymous with preventive benefit with no cost share. Consult plan documents for specific routine maternity benefits. 

Self-funded plans with a Maternity exclusion for dependents will deny all services except routine lab work.

Prenatal education billing codes

99078: Physician educational services rendered to patients in a group setting

S9436: Childbirth preparation/Lamaze classes, non-physician provider, per session

S9437: Childbirth refresher classes, non-physician provider, per session

S9438: Cesarean birth classes, non-physician provider, per session

S9439: VBAC (vaginal birth after cesarean) classes, non-physician provider, per session

S9442: Birthing classes, non-physician provider, per session

S9444: Parenting classes, non-physician provider, per session

S9447: Infant safety (including CPR) classes, non-physician provider, per session

Breastfeeding support

S9443: Lactation classes, counseling, education, per session

A4281-AA4286, E0602, E0603: supplies