Maternal Fetal Medicine Billing Within an Integrated Group Practice
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Date posted10/28/2021
Coding Tips
Coding Tips
New/Updated ICD-10-CM Diagnosis Codes for 2022
Effective each year on October 1, additions, deletions, and updates to the ICD-10-CM code set are published. This year, no significant changes were made to Chapter 15, the obstetrics chapter. However, there are a few new codes that could affect the practice of Maternal Fetal Medicine. The... Continue Reading
Date posted10/11/2021
Care Coordination and Interprofessional Consultations
The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Amie Hollard, MD; Betzaida Martinez, CPCP, CPMA, COBGC, CPPM; Vanita Jain, MD MFM subspecialists frequently need to speak with other physicians for patient care coordination and/or are asked by other physicians to... Continue Reading
Date posted09/27/2021
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
Date posted08/23/2021
Pregnancy - chronic or acute problem for Medical Decision Making?
As of January 1, 2021, E/M code selection for CPT codes 99202-99215 may be based on time or medical decision-making (MDM). One of the elements used in selecting the level based on medical decision-making is diagnosis. This refers to the number and complexity of problems addressed at the... Continue Reading
Date posted05/17/2021
Updates to 2021 E/M Office Coding Guidelines
In July 2019, the American Medical Association (AMA) published the “CPT Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes,” which were put into effect on January 1, 2021. These... Continue Reading
Date posted04/20/2021
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
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
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
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?
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
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