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The ICD-10 O28 code series are used to describe abnormal findings on antenatal screening of mother as a reason for an encounter. The series includes O28.0 – O28.9. In order to better understand the O28 code series, the corresponding ICD-10 descriptors along with some additional notes and... Continue Reading
The CPT code book clearly indicates that multiple ultrasound services that occur during a single encounter can each be reported separately. However, before payers will reimburse for multiple ultrasound services, the medical necessity of each service must be established. These four tips will help... Continue Reading
Performance of KCL intramniotic/intracardiac injection to arrest the fetal heart, prior to a termination procedure is a coding challenge. Common MFM practice is to provide the KCL injection into the fetal heart with ultrasound guidance only in the office or pre-operatively. In the majority of... Continue Reading
If a patient has a diagnosis of obesity (BMI ≥ 30) O99.21__ (obesity complicating pregnancy, childbirth and the puerperium) is an accepted indication for a detailed fetal anatomy survey (CPT 76811) according to published guidelines. To determine BMI in a pregnancy affected by obesity, we... Continue Reading
Placenta accreta is defined as an abnormal invasion of all or part of the placenta into the myometrial wall of the uterus. Placenta accreta spectrum (PAS) is the more current terminology to refer to the range of abnormal placental invasion that includes placenta accreta, increta and percreta. ... Continue Reading
The global maternity care package includes all the services normally provided in uncomplicated maternity cases. There are services that may or may not relate to the pregnancy which are outside of the Global OB care and should be reported separately. These include but not limited... Continue Reading
Download PDF TAGS: fetal anomalies, transvaginal ultrasound, ultrasound, diagnostic CATEGORIES: Joint Publication Continue Reading
Polyhydramnios, or hydramnios, is an abnormal increase in the volume of amniotic fluid. Identification of polyhydramnios should prompt a search for an underlying etiology. Although most cases of mild polyhydramniosare idiopathic, the 2 most common pathologic causes are maternal diabetes mellitus... Continue Reading
Low-dose aspirin has been used during pregnancy, most commonly to prevent or delay the onset of preeclampsia. The American College of Obstetricians and Gynecologists issued the Hypertension in Pregnancy Task Force Report recommending daily low-dose aspirin beginning in the late first trimester for... Continue Reading
Ventriculomegaly is defined as dilation of the fetal cerebral ventricles and is a relatively common finding on prenatal ultrasound. The purpose of this document is to review the diagnosis, evaluation, and management of mild fetal ventriculomegaly. When enlargement of the lateral ventricles (10... Continue Reading
Download PDF TAGS: fetal anomalies, fetal complications, screening, genetic screening, genetic CATEGORIES: Joint Publication Continue Reading
A vanishing twin (or fetal resorption) is a fetus in a multi-gestation that fails to develop or dies in utero and is then partially or completely resorbed. Fetal numbering is most commonly determined by ultrasound. The baby positioned lowest in the uterus is usually given the designation of... Continue Reading
