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Frequently, patient documentation will state, “Patient has a history of _______.” However, in ICD-10-CM diagnosis coding for pregnancy, the code selection is completely different if the patient’s condition is in the current pregnancy, or if it pre-dated the current pregnancy.... Continue Reading
Twin gestations may deliver on the same day or there may be a time interval between the delivery of the first and second twins. Which ICD-10 to associate with the delivery will depend on whether the twins are delivered on the same day or on separate days, and whether they are both born alive or if... Continue Reading
The use of ultrasound to guide procedures in obstetrics is common. In addition to the relevant primary procedure code being performed, additional separate coding for ultrasound guidance, depending on the procedure type and setting, should be included and reflected in the documentation. The... Continue Reading
Recently, our membership has had questions regarding the appropriate use and required components of CPT codes 76805, 76816 and 76815. This coding tip reviews the components of each imaging study, as well as provides some clinical scenarios of appropriate use: It is important to distinguish,... Continue Reading
ccording to the ICD-10cm official guidelines for coding and reporting (fiscal year 2018) Chapter 15: pregnancy, Childbirth and the Puerperium; section 4. (e.g., page 19 of 117), if multiple conditions prompted the admission, sequence the one most related to the delivery as the principal... Continue Reading
Use of the uterine size/dates discrepancy code set (O26.841-O26.849) is appropriate when the measurement between the symphysis pubis and the top of the fundus is not consistent with the stated dates. There may be a diagnosis of uterine size/dates discrepancy, whether the fetus itself is large,... Continue Reading
Important Tips: 1. It will be relatively rare for an MFM physician to bill global obstetric care, because some portion of the antepartum service will have typically been provided by an obstetrician unaffiliated withhis/her practice. The most common occasion in which it will occur is when an MFM... Continue Reading
Some obstetric care providers choose to place two sutures rather than one at the time of the initial cervical cerclage placement. In some cases, the second suture is not a true cerclage suture but only provides leverage to help in identifying and pulling the cerclage suture at removal. If that is... Continue Reading
Twin to twin transfusion syndrome (TTTS) is one of the most challenging clinical problems in monochorionic multifetal gestations with mortality rates as high as 80% if left untreated. Fetoscopic laser photocoagulation is described as the preferred method of treatment for select or severe cases of... Continue Reading
Cell-free fetal DNA (cfDNA) screening has enhanced the ability to offer early aneuploidy screeningin pregnancy. The purpose of this White Paper is to describe billing recommendations when cfDNAscreening is done or considered in conjunction with first trimester Nuchal Translucency screening(CPT... Continue Reading
99358--Prolonged evaluation and management service before and/or after direct patient care; first hour (30-74 mins). +99359-- Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (>74 mins) (List separately in addition to code for... Continue Reading
SMFM Coding CommitteeNewsletter Coding Tip – August 2017ICD-10-CM Changes for 2018With the adoption of the International Classification of Diseases, 10th edition, Clinical Modification (ICD-10-CM), Maternal Fetal Medicine (MFM) specialists lost the opportunity to be specific in assigning... Continue Reading
