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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.

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New ICD-10 Codes: Underimmunization for COVID-19 status
New ICD-10 Codes: Underimmunization for COVID-19 status

Effective April 1, 2022, there is a new series of ICD-10 codes for COVID-19 (Z28.31__) that was created to indicate that a patient is unvaccinated or ‘under-immunized’. There is also a new code (effective 4/1/2022) to identify patients who are ‘under-immunized’ status for... Continue Reading

Date posted06/10/2022


Guidance for Performance of a PR Interval
Guidance for Performance of a PR Interval

In response to recent questions, this month’s Coding Tip is focused upon updating coding guidance for when a PR interval is performed. This Coding Tip is an update from prior guidance on this topic published in July 2017. The PR interval is often performed in attempt to identify early forms... Continue Reading

Date posted04/13/2022


Receiving denials when reporting 76811 with the advanced maternal age diagnosis
Receiving denials when reporting 76811 with the advanced maternal age diagnosis

The SMFM Coding Committee received a recent inquiry regarding the usage of ICD-10 codes O09.512 and O09.522 when submitting charges after completing a 76811 exam on nulliparous and multiparous AMA patients in the second trimester. It was communicated that this family of ICD-10 codes used for this... Continue Reading

Date posted03/10/2022


Having a Care Manager During Pregnancy Reduces Likelihood of Premature Birth for High-Risk Patients
News,
Having a Care Manager During Pregnancy Reduces Likelihood of Premature Birth for High-Risk Patients

Washington, DC ― Research shows that pregnant people on Medicaid are more likely to have worse pregnancy outcomes, including preterm birth, compared to those who have private insurance. When a baby is born too early — or prematurely — it puts the infant at greater risk of health... Continue Reading

Date posted02/3/2022


Genetic Counselors
Genetic Counselors

The Coding Committee recently received a question regarding how to bill for Genetic Counselors within the MFM practice. The Committee felt this was an opportune time to review coding & billing practices in this scenario. Coding for Genetic Counselors is not uniform across states and... Continue Reading

Date posted01/31/2022


Identifying Trimester Coding in ICD-10 - Replaces previous tip from 2015
Identifying Trimester Coding in ICD-10 - Replaces previous tip from 2015

In ICD-10 trimester-based coding is utilized to identify the trimester during the encounter. Instructions about obstetric trimester-based billing is found in Chapter 15. The CMS and the NCHS (within the US Federal Government’s DHHS) provides these instructions in their ICD-10 CM manual. ... Continue Reading

Date posted12/16/2021


Maternal Fetal Medicine Billing Within an Integrated Group Practice
Maternal Fetal Medicine Billing Within an Integrated Group Practice

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Date posted10/28/2021


New/Updated ICD-10-CM Diagnosis Codes for 2022
New/Updated ICD-10-CM Diagnosis Codes for 2022

Effective each year on October 1, additions, deletions, and updates to the ICD-10-CM code set are published. This year, no significant changes were made to Chapter 15, the obstetrics chapter. However, there are a few new codes that could affect the practice of Maternal Fetal Medicine. The... Continue Reading

Date posted10/11/2021


Care Coordination and Interprofessional Consultations
Care Coordination and Interprofessional Consultations

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Amie Hollard, MD; Betzaida Martinez, CPCP, CPMA, COBGC, CPPM; Vanita Jain, MD MFM subspecialists frequently need to speak with other physicians for patient care coordination and/or are asked by other physicians to... Continue Reading

Date posted09/27/2021


Coding Guidance for Monochorionic Diamniotic Twin Pregnancies
Coding Guidance for Monochorionic Diamniotic Twin Pregnancies

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Mathew Esposito MD; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Fadi Bsat, MD; Vanita Jain, MD. The purpose of this coding tip is to provide guidance in coding service for patients with monochorionic diamniotic twins. SMFM has... Continue Reading

Date posted08/23/2021


Coding for the “new” First Trimester Detailed Diagnostic Obstetric Ultrasound
Coding for the “new” First Trimester Detailed Diagnostic Obstetric Ultrasound

Vanita Jain MD & Fadi Bsat MD for the SMFM Coding Committee and the Division of Practice Management In 2020, the AIUM Practice Parameter for the Performance of Detailed Diagnostic Obstetric Ultrasound Examinations Between 12 weeks 0 days and 13 weeks 6 days was developed in collaboration with... Continue Reading

Date posted06/10/2021


Pregnancy - chronic or acute problem for Medical Decision Making?
Pregnancy - chronic or acute problem for Medical Decision Making?

As of January 1, 2021, E/M code selection for CPT codes 99202-99215 may be based on time or medical decision-making (MDM). One of the elements used in selecting the level based on medical decision-making is diagnosis. This refers to the number and complexity of problems addressed at the... Continue Reading

Date posted05/17/2021