One challenge for ICD-10-CM code selection for MFM is the presentation of symptoms or conditions for which a precise diagnosis code doesn’t exist. ICD-10-CM offers several categories and subcategories from which to choose. They are: O09.89- Supervision of other high risk... Continue Reading
Gestational Diabetes ICD-10 Codes: New codes have been added to indicate when gestational diabetes (diabetes that starts during pregnancy) is controlled by oral hypoglycemic drugs, during pregnancy, childbirth or in the puerperium: O24.415 Gestational diabetes mellitus in pregnancy, controlled... Continue Reading
In many cases, MFM providers may only be involved in the management of a pregnant patient but do not perform the actual delivery. Typically, the delivery codes that are used to submit a claim after delivery include complete global services (Admission, delivery management, postpartum care, and... Continue Reading
Certain MFM providers may only bill fee for service in the management of a pregnant patient but do not do the actual delivery. Typically, all delivery codes include global services upon delivery (Admission, delivery management, postpartum care, and discharge). When this occurs, unbundling then... Continue Reading
Nationwide, there are MFM providers who only bill fee for service in the management of a pregnant patient including delivery planning but do not actually deliver. Unfortunately, all delivery codes include global services upon delivery (Admission, delivery management and the discharge). When this... Continue Reading
Effective January 1, 2010, CPT consultation codes are no longer recognized by Medicare for part B payment. Other payers are increasingly adopting the same rule. Providers who perform initial evaluation services for Medicare patients should assign evaluation and management (E/M) codes as... Continue Reading
Preconception counseling is an office consultation to discuss the potential risks a woman may face when pursuing pregnancy. Discussion typically involves identifying risk factors that could impact the progress of a healthy pregnancy and healthy fetus. Addressing issues ahead of time, such as... Continue Reading
ow to bill for visits when an MFM provider sees patients in a clinic or office typically staffed by OB providers? Some MFM providers are “contracted” or assigned to see patients in an office or clinic primarily staffed by OB generalist providers. This often occurs in hospital... Continue Reading
The Zika virus is a mosquito-borne virus that has been associated with congenital defects, primarily of the central nervous system. According to the CDC, clinicians should screen women who have traveled to known areas of Zika transmission. Pregnant women who report clinical illness consistent... Continue Reading
For correct code assignment, it is important to determine whether the hypertension is a pre-existing or a gestational condition. Pre-existing hypertension is classified to category O10, Pre-existing hypertension complicating pregnancy, childbirth and the puerperium, as... Continue Reading
Currently, there is no ICD-10 code for cervical shortening in the first trimester. However, the cervix could be short in the first trimester due to prior cervical procedures, congenital malformations, previously diagnosed cervical insufficiency, etc. In those situations, the suggested codes to... Continue Reading
One of the biggest changes in ICD-10 conventions, compared to ICD-9, is the EXCLUDES note. In ICD-9, the alert was simply “EXCLUDES…”. In ICD-10, the alert has been expanded to accommodate two concepts: EXCLUDES 1 and EXCLUDES 2. Excludes 1 means NOT CODED HERE. The code(s)... Continue Reading
