News

Journalists working on stories related to high-risk pregnancies or the Society for Maternal-Fetal Medicine can contact Greg Phillips, Director of Communications, at press@smfm.org for referrals to MFM experts and to request additional information. The press office is open Monday through Friday from 9:00 AM to 5:00 PM ET.

Blog Coding Tips Coding White Papers News

Coding for Placenta Accreta Spectrum
Coding for Placenta Accreta Spectrum

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

Date posted05/17/2019


How to Bill for Place of Service 19 “Off Campus-Outpatient Hospital”
How to Bill for Place of Service 19 “Off Campus-Outpatient Hospital”

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

Date posted02/28/2019


Coding for Ultrasound Guidance in Obstetrics
Coding for Ultrasound Guidance in Obstetrics

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

Date posted05/31/2018


Amniocentesis for Twin Gestation
Amniocentesis for Twin Gestation

When performing diagnostic amniocentesis on a twin gestation with two amniotic sacs (two separate taps), you would report the procedures as follows: · 59000 Amniocentesis, Twin A · 76946 (or 76946-26) Amnio Guidance, Twin A · ... Continue Reading

Date posted09/30/2014


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

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... Continue Reading

Date posted05/31/2014


Chorionic Villus Sampling
Chorionic Villus Sampling

Chorionic Villus Sampling (CVS) is a prenatal test that detects chromosomal abnormalities such as Down syndrome, as well as a host of other genetic disorders.CVS is a diagnostic procedure which involves removing some chorionic villi cells from the placenta at the point where it attaches to the... Continue Reading

Date posted08/31/2013


Inpatient Ultrasound Services provided by a Private Office located in proximity of the Hospital
Inpatient Ultrasound Services provided by a Private Office located in proximity of the Hospital

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

Date posted02/6/2013


When a co-payment should be collected regardless of who and where the service was provided?
When a co-payment should be collected regardless of who and where the service was provided?

In the ever changing world of health care and overall rising costs, co-payments are no longer ONLY applied for certain specialties and are NOT always driven by Place of Service or E&M Visits. The industry has increased cost shifting from insurance plan to patient creating a more self-pay... Continue Reading

Date posted01/31/2013


Maternal-Fetal Medicine Services-Ordering Diagnostic Testing
Maternal-Fetal Medicine Services-Ordering Diagnostic Testing

Dear Members, and Coders,This White Paper will deal with this subject and give, to the best of this Committee knowledge, what the appropriate way of billing and obtaining reimbursement for such services. Download the PDF Continue Reading

Date posted05/9/2011