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Updated Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy
Updated Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC, Vanita Jain, MD The SMFM Coding Committee previously published interim coding guidance for encounters related to the 2019 novel coronavirus disease (COVID-19) for maternal-fetal medicine... Continue Reading

Date posted04/3/2020


Interim Coding Guidance: Interprofessional Consultations during the COVID-19 pandemic
Interim Coding Guidance: Interprofessional Consultations during the COVID-19 pandemic

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Vanita Jain, MD The SMFM Coding Committee has recently published coding guidance for COVID-19 and pregnancy (https://www.smfm.org/covid19). Due to recent concerns about decreasing exposure... Continue Reading

Date posted04/3/2020


Coding for remote antenatal surveillance procedures during COVID-19.
Coding for remote antenatal surveillance procedures during COVID-19.

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Vanita Jain, MD The SMFM Coding Committee has recently published coding guidance for ICD-10-CM coding and Telemedicine for COVID-19 and pregnancy (https://www.smfm.org/covid19). Due to... Continue Reading

Date posted04/3/2020


Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic
Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Dave Smith, CPC, MBA; Trisha Malisch, CCS-P, CPC; Vanita Jain, MD The purpose of this document is to provide maternal-fetal medicine subspecialists interim coding guidance for telemedicine and remote patient... Continue Reading

Date posted04/3/2020


Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic
Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Dave Smith, CPC, MBA; Trisha Malish, CCS-P, CPC; Vanita Jain, MD The purpose of this document is to provide maternal-fetal medicine subspecialists interim coding guidance for telemedicine and remote patient monitoring... Continue Reading

Date posted03/18/2020


Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy
Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Trisha Malisch, CCS-P, CPC; Steve Rad, MD; Vanita Jain, MD The purpose of this document is to provide interim diagnosis coding guidance for encounters related to the 2019 novel coronavirus (COVID-19) for maternal-fetal medicine... Continue Reading

Date posted03/13/2020


Billing for pregnancy termination or delivery at 20+ weeks gestational age
Billing for pregnancy termination or delivery at 20+ weeks gestational age

Starting at 20 weeks 0 days, the appropriate maternity care and delivery code (594XX) with the relevant diagnosis (e.g. O36.4XX_ maternal care for intrauterine death) is billed for pregnancy terminations (eg, D&E) and delivery. If applicable, you could also report 76988-26 for ultrasound... Continue Reading

Date posted03/1/2020


Abnormal findings on antenatal screening of mother
Abnormal findings on antenatal screening of mother

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

Date posted12/1/2019


Medical Necessity for Multiple Ultrasounds
Medical Necessity for Multiple Ultrasounds

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

Date posted11/1/2019


How is gestational age assigned for coding and billing purposes?
How is gestational age assigned for coding and billing purposes?

Traditionally, gestational age is determined by the assigned “due date” or EDD (estimated date of delivery)/EDC (estimated date of confinement). The first day of the LMP (last menstrual period) is the first step in establishing the EDD. By convention, the EDD is 280 days after the... Continue Reading

Date posted10/1/2019


Report umbilical cord and certain placental issues that occur in the antepartum period
Report umbilical cord and certain placental issues that occur in the antepartum period

The International Classification of Disease, 10th edition (ICD-10-CM), has a specific code category for umbilical cord complications (O69). However, the use of codes from this category is limited to the labor and delivery period. Using codes from this category during the antepartum period,... Continue Reading

Date posted07/31/2019


KCL Procedure MFM billing options when CPT code 59897 is not reimbursed
KCL Procedure MFM billing options when CPT code 59897 is not reimbursed

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

Date posted07/1/2019