CPT Code 73630 – Complete Foot X-Ray Billing Guide for 2025
November 26, 2025
CPT Code 99500 Home Visit for Prenatal Monitor and Assessment
CPT code 99500 is used to report a home visit by a healthcare provider (such as a physician, nurse practitioner, or registered nurse) to a pregnant woman. The purpose of this visit is to monitor the health of both the mother and fetus. This may include:
- Assessing the mother’s overall health: This may involve taking vital signs (blood pressure, temperature, pulse, and respirations), checking for signs of preeclampsia or other complications, and discussing any concerns the mother may have.
- Monitoring fetal growth and development: This may involve performing a physical examination of the mother’s abdomen to assess the size and position of the fetus, listening to the fetal heartbeat, and performing non-stress tests or other diagnostic procedures as needed.
- Identifying and addressing potential complications: This may include screening for conditions such as gestational diabetes, anemia, or low birth weight, and providing appropriate interventions or referrals as needed.
When to Use CPT Code 99500
This code should be used when a healthcare provider performs a comprehensive prenatal assessment in the patient’s home. It is typically used in situations where:
- The patient has difficulty accessing or traveling to a healthcare facility.
- The patient has high-risk pregnancy complications that require frequent monitoring.
- The patient has social or economic barriers that make it difficult to attend regular prenatal appointments.
Who performs the visit?
- A home health provider, such as a registered nurse
Some complications that might be addressed
- Low blood pressure
- Anemia
- Slow fetal growth
- Hyperemesis gravidarum (nausea and vomiting during pregnancy)
- Thromboembolic disease (DVT)
- Pregnancy-induced hypertension (PIH)
- Premature rupture of membranes (PPROM)
- Preterm labor (PTL)
Related CPT Codes
- CPT code 99501: Home visit for postnatal assessment and follow-up care. This code reports a home visit to a mother and her newborn after delivery to assess their health and well-being.
- CPT code 99502: Home visit for newborn care and assessment. This code reports a home visit to a newborn infant to assess their health and development.
Important Notes
- This code should only be used when the services provided meet the specific criteria outlined in the CPT manual.
- Proper documentation is essential to ensure accurate billing and reimbursement.
- It is important to consult with your local payer policies for specific coverage and reimbursement guidelines.
Documentation and Billing Considerations
Accurate documentation is essential for medical billing CPT Code 99500. Providers must record:
- The date and duration of the visit.
- Detailed descriptions of assessments and procedures performed.
- Observations and findings related to maternal and fetal health.
- Interventions or referrals were made during the visit.
Additionally, healthcare providers should confirm coverage with the patient’s insurance company, as policies on home-based prenatal care services may vary.
Final Thoughts
CPT Code 99500 underscores the importance of accessible, patient-centered prenatal care. This code is crucial in promoting maternal and fetal well-being by enabling healthcare providers to deliver vital services directly to a pregnant woman’s home.
Home visits under CPT Code 99500 ensure that expectant mothers receive the care they need during this critical time, whether by addressing complications, monitoring routine progress, or providing educational support.
Frequently Asked Questions (FAQs)
CPT 99500 denotes a home visit for prenatal monitoring and assessment, where a qualified provider visits a pregnant patient’s home to evaluate maternal and fetal health, monitor for complications, and perform related assessments.
Yes. The home visit under 99500 often includes monitoring and assessment of both the mother and fetus, especially in a prenatal context.
While 99500 is primarily used for prenatal home visits, its use is driven by payer policy, and some insurers may restrict it to pregnancy-related monitoring only.
You should document the date, duration, clinical findings, and reason for home-based prenatal care (e.g., complications, mobility issues). Also show that the visit could not be done in-office.
CPT 99600 is an unlisted home visit or procedure used when services don’t fit existing home visit codes like 99500–99602. Providers must supply a detailed description of what was done.
Yes, in many cases. 99500 is part of the home health/home visit codes range (99500–99602) recognized by Medicare and commercial payers for home-based services.
CPT 99501 covers postnatal home visits focusing on maternal follow-up and assessment after childbirth. It's distinct from 99500, which covers prenatal home monitoring.
Use 99500 when a patient cannot travel easily (high-risk pregnancy, mobility issues, or complications) and needs in-home monitoring that cannot be obtained in-office. The medical necessity must be documented.
