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

Coding Tips,

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 guidance for amniocentesis, imaging supervision and interpretation 

2.       59001  Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) 

3.       59012  Cordocentesis (intrauterine), any method and 76941 Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation  

4.       59015  Chorionic villus sampling, any method and 76945 Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation   

5.       59070  Trans abdominal amnioinfusion, including ultrasound guidance 

6.       59072  Fetal umbilical cord occlusion, including ultrasound guidance 

7.       59074  Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance 

8.       59076  Fetal shunt placement, including ultrasound guidance 

9.       59866  Multi-fetal pregnancy reduction(s) (MPR) and 76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation

59897 Unlisted fetal invasive procedure, including ultrasound guidance, when performed (This unlisted CPT Code is currently being used for Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome and the KCL procedure).

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