P001

Medical management of non-viable fetus or intra-uterine fetal demise between 14 and 20 weeks gestation

Fee

ComponentValue
Provider fee$479.55
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 535 / K5

Medical management of non-viable fetus or intra-uterine fetal demise between 14 and 20 weeks gestation ..................... 479.55
Passages mentioning P001

PDF page 535 / K5

OBSTETRICS
 PRENATAL CARE
                                                                                                        Asst   Surg    Anae
       Medical management of early or ectopic pregnancy - follow-up visit
        Medical management of early or ectopic pregnancy - follow-up visit is for a visit that is a follow-
        up of A920 or A922, whether rendered by the same physician who rendered the A920 or A922
        service or by another physician.
   A921 Medical management of early or ectopic pregnancy - follow-up
          visit .....................................................................................          44.55
         Payment rules:
         1.Services described as consultations, assessments or counselling (and those procedures that
           are generally accepted components of this service) are not eligible for payment when
           rendered the same day to the same patient by the same physician as A921.
         2.A921 is limited to two per patient per pregnancy. Services in excess of this limit will be
           adjusted to another assessment fee.
   P001 Medical management of non-viable fetus or intra-uterine fetal
           demise between 14 and 20 weeks gestation .....................              479.55
       Payment rules:
       1.P001 is only eligible for payment if the length of gestation is confirmed by ultrasound.
         2.Services described as consultations, assessments or counselling (and those procedures that
           are generally accepted components of this service, including cervical ripening and oxytocin
           infusion if rendered) are not eligible for payment when rendered the same day to the same
           patient by the same physician as P001.
         3.Z774 is eligible for payment in addition to P001 if uterine curettage is required for postpartum
           hemorrhage due to retained products.
         [Commentary:
         P001 is only payable for the active medical management of the patient. It is not payable when
         the fetus delivers spontaneously prior to initiating intervention.]
Fee master record

Master, record 3934. Record Layout PDF, page 1.

P00120260401999999990000479550000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00004795500 / 479.55
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

Medical management of a non-viable fetus or intra-uterine fetal demise between 14 and 20 weeks gestation. It is listed under Prenatal Care, in the section on medical management of early or ectopic pregnancy, follow-up visit.

Watch out for

Only eligible for payment if gestation length is confirmed by ultrasound. Only payable for active medical management, and not payable when the fetus delivers spontaneously before intervention starts. Rule 2 on consultations, assessments or counselling is cut off in the source, so see Schedule.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
Preparing offline search…