Reimbursement for Prenatal Classes + Lactation Essentials
Many people are eligible for reimbursement in part or in full for the following through their insurance plans: Childbirth Preparation Classes, CPR/Child Safety Classes, Breast/Chestfeeding Classes and products, Newborn Care Classes; rentals of hospital-grade equipment (breastpumps and baby scales); and other essential products. You must contact your health insurance company to confirm your policy’s specific reimbursement benefits.
If you are eligible for coverage for a class, your insurance company may request the following:
- CLASS COMPLETION AND INSURANCE REIMBURSEMENT LETTER: Find the letter here. Fill it out including the class you took and the class code.
- PROOF OF CLASS PAYMENT: The order confirmation email you received at time of booking contains confirmation of class registration and the payment amount. It was sent from firstname.lastname@example.org. This email can be used as a receipt of your class payment. A copy of your credit card statement can also be used as proof of class payment.
CODES THAT YOUR INSURANCE MAY NEED FOR BILLING AND REIMBURSEMENT. CALL YOUR INSURANCE COMPANY AND ASK WHICH OF THE FOLLOWING CODES THEY REQUIRE :
CPT CODES (procedure)
S9436: Childbirth Preparation, non-physician provider, per session
S9442: Birthing classes, non-physician, per session
S9443: Lactation Class, non-physician, per session
S9444: Parenting classes, non-physician, per session
S9447: Infant Safety (including CPR) classes, non-physician, per session
98960 – 98962: Non-physician provider doing education – all prenatal classes
ICD CODES (diagnosis)
ICD-10-CM Diagnosis Code Z39.1 – Lactating Parent & Baby program lactation education: Breastfeeding / Chestfeeding Class & Lactation Consultation
ICD-10-CM Diagnosis Code Z32.2 – Childbirth education; Childbirth instruction: Childbirth Prep Class
ICD-10-CM Diagnosis Code Z32.3 – Prenatal childcare instruction: Newborn Care & Parenting Class
ICD-10-CM Diagnosis Code Z71.89 – Health education; Individual or group safety & first aid education: Infant & Child CPR & Safety Class
Lactation Rentals + Products
If you are eligible for coverage for a rental or lactation products, your insurance company may request the following:
- PROOF OF PAYMENT: Your receipt contains confirmation of items rented/purchased and payment amount. A copy of your credit card statement can also be used as proof of payment.
- ITEMIZED SUPERBILL Email email@example.com to request. Please provide the name and date of the rental or purchase.