Billing codes

Medicaid doula billing codes depend on the state and service.

Use this page to understand codes, modifiers, units, and diagnosis-code basics before opening the state rule or claim packet.

Create account Choose your state

Do not copy a code from one state into another state.

Codes should match the service date, visit note, and payer rule.

Keep real client and claim details in private records.

Start here

Short answer

Use this page to understand codes, modifiers, units, and diagnosis-code basics before opening the state rule or claim packet.

Next step

Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a state Check what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklist Keep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet

The plain version

Before you look at a code, make sure you know the client state, the service type, and the visit date.

Billing code

The code tells the payer what kind of doula service you are billing, such as a visit, labor support, or postpartum service.

Modifier

A modifier adds detail to a code. It can show a state program, service type, telehealth rule, or special visit type.

Units

Units show how many visits or how much time is billed. Some states use one flat unit, and some use 15-minute units.

Diagnosis code

Some payers ask for a diagnosis code on the claim. The right code depends on the state, payer, and service.

Service date

The code and units should match the date, length, and type of support in your private visit note.

State rule

Doula billing codes are not the same everywhere. Always start with the state where the client is covered.

State code examples

These examples come from the state rule records in DoulaPaid. Open the state page before using any code for real billing.

Arizona

per visit

T1032 · Doula services (per 15 minutes), up to eight units per day

Modifier: No modifier listed. Units: 15-minute units. Rate: $15.26 per unit.

T1033 · Doula services per diem (labor and delivery), once per 9-month period

Modifier: No modifier listed. Units: Flat service. Rate: $488.40.

State guide Rate calculator Claim check

California

per visit

Z1032 · Extended initial visit, 90 minutes

Modifier: XP. Units: Check state rule. Rate: $197.98.

Z1034 · Prenatal or postpartum visit, up to eight visits

Modifier: XP. Units: Check state rule. Rate: $162.11.

59409 · Support during vaginal delivery

Modifier: XP. Units: Check state rule. Rate: $685.07.

59612 · Support during vaginal delivery after previous caesarean section

Modifier: XP. Units: Check state rule. Rate: $768.69.

State guide Rate calculator Claim check

Colorado

per visit

T1032 · Prenatal doula services (per 15 minutes)

Modifier: No modifier listed. Units: 15-minute units. Rate: $25 per unit.

T1032 · Postpartum doula services (per 15 minutes)

Modifier: No modifier listed. Units: 15-minute units. Rate: $25 per unit.

T1033 · Labor and delivery doula services (per delivery)

Modifier: No modifier listed. Units: Flat service. Rate: $900.

State guide Rate calculator Claim check

Connecticut

per visit

T1033 · Antepartum or postpartum doula visit

Modifier: No modifier listed. Units: Flat service. Rate: $100.

T1033 · Synchronous audio/video antepartum or postpartum doula visit

Modifier: 95. Units: Flat service. Rate: $100.

T1033 · In-person attendance at labor and delivery

Modifier: HD. Units: Flat service. Rate: $800.

State guide Rate calculator Claim check

District of Columbia

per visit

99600 · Perinatal doula support visit

Modifier: HD. Units: Flat service. Rate: $107.89.

59400 · Doula support at vaginal delivery

Modifier: HD. Units: Flat service. Rate: $762.98.

59514 · Doula support at c-section delivery

Modifier: HD. Units: Flat service. Rate: $762.98.

59612 · Doula support at VBAC delivery

Modifier: HD. Units: Flat service. Rate: $762.98.

State guide Rate calculator Claim check

Illinois

per visit

59409 · Labor and delivery support - vaginal

Modifier: No modifier listed. Units: Flat service. Rate: $720.

59514 · Labor and delivery support - cesarean

Modifier: No modifier listed. Units: Flat service. Rate: $720.

59612 · Labor and delivery support - VBAC

Modifier: No modifier listed. Units: Flat service. Rate: $720.

59620 · Labor and delivery support - cesarean after attempted VBAC

Modifier: No modifier listed. Units: Flat service. Rate: $720.

State guide Rate calculator Claim check

Louisiana

per visit

99404 · Pre/postnatal nurse advocacy visit, as medically necessary

Modifier: No modifier listed. Units: Check state rule. Rate: $35.41.

S9445 · Prenatal/postpartum doula visit, part of the eight-visit pool

Modifier: No modifier listed. Units: Check state rule. Rate: $69.69.

99199 · Attendance at labor and delivery by doula

Modifier: No modifier listed. Units: Flat service. Rate: $459.

S9442 · Birthing class, per session, part of the eight-visit pool

Modifier: No modifier listed. Units: Check state rule. Rate: $40.80.

State guide Rate calculator Claim check

Maryland

per visit

T1032 · Prenatal doula visit, up to four 15-minute units

Modifier: No modifier listed. Units: 15-minute units. Rate: $16.62 per unit.

T1032 · Postpartum doula visit, up to four 15-minute units

Modifier: U9. Units: 15-minute units. Rate: $19.62 per unit.

T1033 · Labor and delivery attendance (in-person only)

Modifier: No modifier listed. Units: Flat service. Rate: $800.

State guide Rate calculator Claim check

Massachusetts

per visit

99600 · Perinatal visit up to 60 minutes

Modifier: No modifier listed. Units: Flat service. Rate: $100.

99600 · Perinatal visit 61 to 90 minutes

Modifier: TF. Units: Flat service. Rate: $150.

99199 · Labor and delivery support

Modifier: No modifier listed. Units: Flat service. Rate: $900.

State guide Rate calculator Claim check

Michigan

per visit

S9445 · Prenatal or postpartum doula visit, 12 total visits before prior authorization

Modifier: HD. Units: Flat service. Rate: $100.

S9445 · Telemedicine-eligible prenatal or postpartum doula visit

Modifier: HD, 95. Units: Flat service. Rate: $100.

T1033 · Attendance at labor and delivery, in-person

Modifier: HD. Units: Flat service. Rate: $1,500.

State guide Rate calculator Claim check

Minnesota

per visit

T1033 · Prenatal, postpartum, or non-labor doula session

Modifier: No modifier listed. Units: Flat service. Rate: $100.

T1033 · Labor and delivery doula session

Modifier: U4. Units: Flat service. Rate: $1,400.

State guide Rate calculator Claim check

Missouri

per visit

S9445 · Prenatal support session, 60 minutes or more

Modifier: TH. Units: Flat service. Rate: $75.

S9445 · Postpartum support session, 60 minutes or more

Modifier: TS. Units: Flat service. Rate: $75.

T1033 · Attendance at labor and delivery, up to 24 hours

Modifier: No modifier listed. Units: Flat service. Rate: $800.

State guide Rate calculator Claim check

Nevada

per visit

S9445 · Patient education, individual, per session

Modifier: U1. Units: Flat service. Rate: $100.

59409 · Doula support at vaginal delivery

Modifier: U1. Units: Flat service. Rate: $900.

State guide Rate calculator Claim check

New Jersey

per visit

99600 · Initial prenatal doula visit, up to six 15-minute units

Modifier: HD, U7. Units: 15-minute units. Rate: $16.62 per unit.

99600 · Standard prenatal doula visit, up to four 15-minute units

Modifier: HD. Units: 15-minute units. Rate: $16.62 per unit.

99199 · Standard postpartum doula visit, up to four 15-minute units

Modifier: HD. Units: 15-minute units. Rate: $16.62 per unit.

59409 · Attendance at vaginal delivery

Modifier: HD. Units: Flat service. Rate: $500.

State guide Rate calculator Claim check

New Mexico

pending verification

PENDING-VERIFY · New Mexico doula codes and rates pending HCA fee-schedule verification

Modifier: No modifier listed. Units: Check state rule. Rate: Rate being checked.

State guide Rate calculator Claim check

New York

per visit

T1032 · New York City perinatal support visit, minimum 30 minutes

Modifier: No modifier listed. Units: Flat service. Rate: $93.75.

T1032 · Rest of State perinatal support visit, minimum 30 minutes

Modifier: No modifier listed. Units: Flat service. Rate: $84.37.

T1033 · New York City in-person labor and delivery support

Modifier: No modifier listed. Units: Flat service. Rate: $750.

T1033 · Rest of State in-person labor and delivery support

Modifier: No modifier listed. Units: Flat service. Rate: $675.

State guide Rate calculator Claim check

Oregon

global fee

T1033 · Global doula benefit with support at delivery

Modifier: HD. Units: Check state rule. Rate: $1,505.

T1033 · Support visit

Modifier: No modifier listed. Units: Check state rule. Rate: $215.

T1033 · Doula services day of delivery only

Modifier: 22. Units: Check state rule. Rate: $645.

State guide Rate calculator Claim check

Pennsylvania

per visit

T1032 · Prenatal visit (minimum 30 minutes)

Modifier: U7. Units: Flat service. Rate: $100.

T1032 · Postpartum visit (minimum 30 minutes)

Modifier: U8. Units: Flat service. Rate: $100.

T1032 · Other doula services/support (minimum 30 minutes)

Modifier: U9. Units: Flat service. Rate: $175.

T1033 · Labor and delivery support (in-person; delivery must occur)

Modifier: No modifier listed. Units: Flat service. Rate: $1,000.

State guide Rate calculator Claim check

Rhode Island

per visit

S9445 · Prenatal doula visit, 60-minute minimum

Modifier: No modifier listed. Units: Flat service. Rate: $100.

59400 · Labor and delivery doula support (vaginal)

Modifier: No modifier listed. Units: Flat service. Rate: $900.

59510 · Labor and delivery doula support (cesarean)

Modifier: No modifier listed. Units: Flat service. Rate: $900.

S9446 · Postnatal doula visit, 60-minute minimum

Modifier: No modifier listed. Units: Flat service. Rate: $100.

State guide Rate calculator Claim check

Virginia

per visit

99600 · Initial prenatal doula visit, up to six 15-minute units

Modifier: HD. Units: 15-minute units. Rate: $14.99 per unit.

59425 · Standard prenatal doula visit, up to four 15-minute units

Modifier: HD. Units: 15-minute units. Rate: $14.99 per unit.

59430 · Postpartum doula visit, up to four 15-minute units

Modifier: HD. Units: 15-minute units. Rate: $14.99 per unit.

59409 · Labor support, vaginal birth

Modifier: HD. Units: Flat service. Rate: $350.

State guide Rate calculator Claim check

Washington

unit based

59899 · Prenatal intake visit

Modifier: U1. Units: Flat service. Rate: $750.

T1033 · Labor and delivery support

Modifier: No modifier listed. Units: Flat service. Rate: $750.

T1032 · Additional prenatal and postpartum visits

Modifier: No modifier listed. Units: 15-minute units. Rate: $25 per unit.

State guide Rate calculator Claim check

Useful next pages

Codes only make sense inside the full packet.

Choose the client state Check Medicaid doula rates Build the claim packet Check documentation needs Use the billing checklist Read denial help

Common questions

What billing codes do Medicaid doulas use?

Medicaid doula billing codes depend on the state, payer, service type, visit date, units, modifiers, and diagnosis rules. Start with the client state before preparing a claim.

Are Medicaid doula billing codes the same in every state?

No. States can use different CPT or HCPCS codes, modifiers, visit limits, unit rules, and diagnosis code rules.

Can DoulaPaid choose the billing code for me?

DoulaPaid can help organize state-specific code checks, but a doula or biller should still review payer guidance before submitting a real claim.