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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
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
Approximately 0.5% of all births occur before the third trimester of pregnancy, and these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. A recent executive summary of proceedings from a joint workshop defined periviable birth as delivery... 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
Common disorders of pregnancy, such as preeclampsia, preterm birth, and fetal growth abnormalities,continue to challenge perinatal biologists seeking insights into disease pathogenesis that will result in better diagnosis, therapy, and disease prevention. These challenges have recently been... Continue Reading
Third-trimester bleeding is a common complication arising from a variety of etiologies, some of which may initially present in the late preterm period. Previous management recommendations have not been specific to this gestational age window, which carries a potentially lower threshold for... Continue Reading
Myelomeningocele, a severe form of spina bifida, occurs in approximately 1 in 3,000 live births in the United States. The extent of disability is generally related to the level of the myelomeningocele defect, with a higher upper level of lesion generally corresponding to greater deficits. Open... Continue Reading
Although not all multifetal pregnancies occur after the use of assisted reproductive technology, fertility treatments have contributed significantly to the increase in multifetal pregnancies. In almost all cases, it is preferable to avoid the risk of higher-order multifetal pregnancy by limiting... Continue Reading
In 2015, the Society for Maternal-Fetal Medicine developed a low risk for cesarean delivery definition based on administrative claims-based diagnosis codes described by the International Classification ofDiseases, Ninth Revision, Clinical Modification. The Society for Maternal-Fetal Medicine... Continue Reading
Providers perceive current obstetric quality measures as imperfect and insufficient. Our organizations convened a “Quality Measures in High-Risk Pregnancies Workshop.” The goals were to: Review thecurrent landscape regarding quality measures in obstetric conditions with... Continue Reading
Download PDF TAGS: intrapartum care, intrapartum fetal monitoring, amniotic, amniotic fluid, intrapartum CATEGORIES: SMFM Endorsed Partner Publication Continue Reading
