News

New Study Finds Increased Maternal Complications with Previable Premature Rupture of Membranes

FOR IMMEDIATE RELEASE:Jan. 30, 2025 Media Contact:Karen Addis, APRkaren@addispr.com+1 (301) 787-2394 New Study Finds Increased Maternal Complications with Previable Premature Rupture of Membranes Denver, Colo. ― Previable premature rupture of membranes (PROM) is when the amniotic sac, the... Continue Reading

Updated ICD-10 Indications for The Performance Of A Fetal Echocardiogram

In the November 2021 issue of the American Journal of Perinatology, ICD-10 indications for Fetal Echocardiogram and Detailed First Trimester Obstetric Ultrasound were published. The abstract was authored by the SMFM Coding Committee and is based on indications published by AIUM and other national... Continue Reading

Coding Guidance for Monochorionic Diamniotic Twin Pregnancies

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Mathew Esposito MD; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Fadi Bsat, MD; Vanita Jain, MD. The purpose of this coding tip is to provide guidance in coding service for patients with monochorionic diamniotic twins. SMFM has... Continue Reading

Coding for the “new” First Trimester Detailed Diagnostic Obstetric Ultrasound

Vanita Jain MD & Fadi Bsat MD for the SMFM Coding Committee and the Division of Practice Management In 2020, the AIUM Practice Parameter for the Performance of Detailed Diagnostic Obstetric Ultrasound Examinations Between 12 weeks 0 days and 13 weeks 6 days was developed in collaboration with... Continue Reading

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

NEW ICD-10-CM Codes for 2019

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

Coding for Ultrasound Guidance in Obstetrics

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

Descriptions and Required Components for CPT 76805, 76815 and 76816 ultrasound procedures

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

X{EPSU} Modifiers

Effective Jan. 1, 2015, the Centers for Medicare & Medicaid Services (CMS) implemented four new modifiers to define specific subsets of the 59 modifier. These new modifiers are referred to as X{EPSU} modifiers, and are more selective versions of modifier 59. Current procedural terminology... Continue Reading

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

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

Types of Invasive Antenatal procedures which a limited ultrasound scan is included post procedure

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