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How is continuous NST monitoring billed when a patient is admitted to the hospital? Inpatient continuous fetal heart rate and/or uterine contraction monitoring is not billed as non-stress test (59025) or contraction stress test (59020). Instead, continuous monitoring is included in the... Continue Reading
CPT code 93975 describes duplex scan of arterial inflow and venous outflow of abdomen, retroperitoneum, scrotal contents and/or pelvic organs. This code applies to a complete evaluation, and may be used whether single or multiple organs are studied. It is a "complete" study, in that all major... Continue Reading
When an invasive antenatal procedure is performed, confirmation of the fetal heart beat or a systole post procedure is in included in the work of the procedure and should not be billed separately. Invasive Antenatal Procedures: 1. 59000 Amniocentesis; diagnostic and 76946 Ultrasonic... Continue Reading
In the first edition of this report, the Task Force on Neonatal Encephalopathy and Cerebral Palsy outlined criteria deemed essential to establish a causal link between intrapartum hypoxic events and cerebral palsy. It is now known that there are multiple potential causal pathways that lead to... Continue Reading
A recent question was asked on the correct way to report an Umbilical Cord Occlusion via the Radio Frequency Ablation approach”. Below you will find two examples of multi-fetal reductions, their approach and correct coding guidance for billing purposes. Types of Fetal Reductions and... Continue Reading
Some payers have frequency guidelines related to Obstetrical ultrasound services, and will only pay for a certain number of scans per pregnancy, regardless of diagnosis and complications, provider specialty or practice tax ID. It is important to be aware of these contractual restrictions, and... Continue Reading
ABSTRACT: In the past, the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered “term,” with the expectation that neonatal outcomes from deliveries in this interval were uniform and good. Increasingly, however, research has shown that neonatal... Continue Reading
Chorionic Villus Sampling (CVS) is a prenatal test that detects chromosomal abnormalities such as Down syndrome, as well as a host of other genetic disorders.CVS is a diagnostic procedure which involves removing some chorionic villi cells from the placenta at the point where it attaches to the... Continue Reading
A variety of cell-free DNA (cfDNA) analysis methods have been developed to test for fetal trisomies in maternal blood. These tests fall into two categories: · Random Sequencing and · Directed DNA Analysis. Random sequencing analyzes a random subset of cfDNA... Continue Reading
The SMFM Coding Committee frequently receives questions on the appropriate way to report and receive reimbursement when ultrasound services are provided to hospitalized patients.Global Billing-services are provided and can be billed as Global only when the practice:* owns or leases the equipment,... Continue Reading
The CPT 76811 (Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination) is not intended to be the routine scan performed for all pregnancies. Rather, it is intended for a known or suspected fetal anatomic, genetic... Continue Reading
This White Paper will deal with the “Radiology Bundling Rule” (RBR) to provide the SMFM Coding Committees recommendations for the optimal reporting and obtaining proper reimbursement for multiple obstetrical ultrasounds performed on the same day with special focus on avoiding second... Continue Reading
