Prenatal Care Billing Codes

Update on use of prenatal care codes P003, P004 and P005

At DoctorCare, we often find there is some confusion with the P-codes available for prenatal visits and want to shed some clarity. We hope you find this information valuable:

  • At the initial prenatal visit with your patient (i.e. major visit such as a physical assessment), you should bill with a P003 code.
  • The following prenatal visits of these patients (i.e. minor visits) should be billed using a P004 code.
  • The P005 code is billed when the antenatal preventative care assessment is completed. We recommend you complete the antenatal preventative care assessment during either the major visit (P003) or minor visit (P004) as you can bill it along with either of these two codes.

Read the MOH schedule of benefits descriptions from DoctorCare >

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