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Journalists working on stories related to high-risk pregnancies or the Society for Maternal-Fetal Medicine can contact Greg Phillips, Director of Communications, at press@smfm.org for referrals to MFM experts and to request additional information. The press office is open Monday through Friday from 9:00 AM to 5:00 PM ET.

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ICD-10-CM sequencing guidelines for Delivery
ICD-10-CM sequencing guidelines for Delivery

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

Date posted02/28/2018


Submitting claims for inpatient E/M visits with multiple providers involved
Submitting claims for inpatient E/M visits with multiple providers involved

In many cases, MFM providers may only be involved in the management of a pregnant patient but do not perform the actual delivery. Typically, the delivery codes that are used to submit a claim after delivery include complete global services (Admission, delivery management, postpartum care, and... Continue Reading

Date posted07/1/2016


Billing for inpatient visits with multiple providers involved
Billing for inpatient visits with multiple providers involved

Certain MFM providers may only bill fee for service in the management of a pregnant patient but do not do the actual delivery. Typically, all delivery codes include global services upon delivery (Admission, delivery management, postpartum care, and discharge). When this occurs, unbundling then... Continue Reading

Date posted05/31/2016


Billing for multiple providers managing high-risk patients
Billing for multiple providers managing high-risk patients

Nationwide, there are MFM providers who only bill fee for service in the management of a pregnant patient including delivery planning but do not actually deliver. Unfortunately, all delivery codes include global services upon delivery (Admission, delivery management and the discharge). When this... Continue Reading

Date posted04/30/2016


Preconception Counseling
Preconception Counseling

Preconception counseling is an office consultation to discuss the potential risks a woman may face when pursuing pregnancy. Discussion typically involves identifying risk factors that could impact the progress of a healthy pregnancy and healthy fetus. Addressing issues ahead of time, such as... Continue Reading

Date posted03/1/2016


Reporting Critical Care Services
Reporting Critical Care Services

Critical Care Services Critical care is the direct delivery by a physician(s) of medical care for a critically ill, critically injured, or unstable patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life... Continue Reading

Date posted12/31/2015


The Boy Who Cried Wolf
The Boy Who Cried Wolf

Do you remember Aesop's Fables story of "The Boy Who Cried Wolf"? Many times the boy tells the villagers that a wolf is attacking his flock. He tells them so many times that one day when the wolf really is attacking, no one believes him. Does this sound a little like the government and ICD-10? ... Continue Reading

Date posted07/13/2015


ICD-10: Multiple Gestation
ICD-10: Multiple Gestation

When ICD-10 is implemented in October, 2015, a significant change for MFM will be the ability to assign a condition to a specific fetus in multiple gestation pregnancies. This is done using a 7th character on the ICD-10 code for certain categories. The designations are: 0 = not applicable or... Continue Reading

Date posted11/30/2014


Amniocentesis for Twin Gestation
Amniocentesis for Twin Gestation

When performing diagnostic amniocentesis on a twin gestation with two amniotic sacs (two separate taps), you would report the procedures as follows: · 59000 Amniocentesis, Twin A · 76946 (or 76946-26) Amnio Guidance, Twin A · ... Continue Reading

Date posted09/30/2014


CPT 93975 Complete Duplex Scan
CPT 93975 Complete Duplex Scan

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

Date posted06/30/2014


How to report two different types of multi-fetal reductions and their respective approach
How to report two different types of multi-fetal reductions and their respective approach

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

Date posted02/28/2014


New Codes Effective January 1, 2014
New Codes Effective January 1, 2014

99446 Interprofessional telephone/Internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and... Continue Reading

Date posted11/30/2013