The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Dave Smith, CPC, MBA; Trisha Malish, CCS-P, CPC; Vanita Jain, MD The purpose of this document is to provide maternal-fetal medicine subspecialists interim coding guidance for telemedicine and remote patient monitoring... 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
Twin to twin transfusion syndrome (TTTS) is one of the most challenging clinical problems in monochorionic multifetal gestations with mortality rates as high as 80% if left untreated. Fetoscopic laser photocoagulation is described as the preferred method of treatment for select or severe cases of... Continue Reading
Cell-free fetal DNA (cfDNA) screening has enhanced the ability to offer early aneuploidy screeningin pregnancy. The purpose of this White Paper is to describe billing recommendations when cfDNAscreening is done or considered in conjunction with first trimester Nuchal Translucency screening(CPT... Continue Reading
Telemedicine is the delivery of medical care or services from a distant site. Telemedicine provides two-way, communication between a patient and healthcare provider at a distant site. The communication is supported by audio and video equipment that allows a physician at the main hospital/office to... Continue Reading
Critical Care Services Critical care is the direct delivery by a physician(s) of medical care for a critically ill, critically injured, or unstable patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life... Continue Reading
The American Congress of Obstetricians and Gynecologists have reported a projected decrease in the workforce over the next two decades.1 This anticipated change in supply and demand is correlated with the demographic changes among physicians and patients, the aging population, and the relatively... Continue Reading
The SMFM Coding Committee frequently receives questions on the appropriate way to report and receive reimbursement when ultrasound services are provided to hospitalized patients.Global Billing-services are provided and can be billed as Global only when the practice:* owns or leases the equipment,... Continue Reading
The CPT 76811 (Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination) is not intended to be the routine scan performed for all pregnancies. Rather, it is intended for a known or suspected fetal anatomic, genetic... Continue Reading
Dear Members, and Coders:It is felt by all organizations involved in the codes development and description that only one medically indicated CPT 76811 per pregnancy, per practice is appropriate. Download the PDF Continue Reading
Several members have approached the SMFM and inquired about the options for billing for services performed by a Nurse Practitioner.The way you report the service depends on how the payers have the Nurse Practitioner credentialed. When billing for a Non‐Physician Provider (NPP), you have the... Continue Reading
This White Paper will deal with the “Radiology Bundling Rule” (RBR) to provide the SMFM Coding Committees recommendations for the optimal reporting and obtaining proper reimbursement for multiple obstetrical ultrasounds performed on the same day with special focus on avoiding second... Continue Reading
