HCPCS Code S9443: Lactation Classes, Non-Physician Provider, Per Session

Use S9443 for non-physician-led lactation classes delivered per session. Proper documentation and billing help ensure Medicaid reimbursement and continuity of care.

Use Code

Frequently asked questions

HCPCS code S9443 is used to report lactation classes conducted by a qualified non-physician provider, such as a certified lactation consultant or nurse. It is billed per completed session and typically used for educating new or expectant mothers on breastfeeding techniques, infant nutrition, and milk supply management.

Yes, S9443 may be billed for each separate lactation education session provided, but only once per completed session. Some payers may limit the number of reimbursable sessions per pregnancy or postpartum period, so it’s important to verify with each insurer’s policy.

In most cases, a referring provider and an appropriate diagnosis code—such as one indicating breastfeeding concerns or postpartum care—are required to justify medical necessity. Check with the specific payer, especially Medicaid or managed care plans, to confirm documentation and referral requirements.