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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
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
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
New CPT codes are now available in 2019 to provide additional opportunities for remote monitoring of patient health data and reimbursement. Previously, CPT 99091 was available for remote patient monitoring: Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose... Continue Reading
Beginning January 1st, 2016 the Centers for Medicare & Medicaid Services (CMS) is changing how physicians affiliated with hospitals record where they provide health care services to patients.To differentiate between provider-based hospital departments located either on or separate from the... 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
Modifier 25 – this modifier is used to report an Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician. In general, the patient’s condition will drive the indication for the separate E/M service that was provided in... Continue Reading
When a patient presents after having been involved in an accident, such as a motor-vehicle collision or fall: > If the patient is being observed without symptoms, code O9A.21X, Injury, poisoning, and certain other consequences of external causes complicating pregnancy. This code should be... Continue Reading
Previous Code E78.4 Other hyperlipidemia New Code(s) E78.41 Elevated lipoprotein(a) E78.49 Other hyperlipidemia Previous Code F53 Puerperal psychosis New Code(s) F53.0 Postpartum depression F53.1 Puerperal psychosis Previously, there was no code for postpartum... 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
