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
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
Frequently, patient documentation will state, “Patient has a history of _______.” However, in ICD-10-CM diagnosis coding for pregnancy, the code selection is completely different if the patient’s condition is in the current pregnancy, or if it pre-dated the current pregnancy.... Continue Reading
Twin gestations may deliver on the same day or there may be a time interval between the delivery of the first and second twins. Which ICD-10 to associate with the delivery will depend on whether the twins are delivered on the same day or on separate days, and whether they are both born alive or if... Continue Reading
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
