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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


Updates to 2021 E/M Office Coding Guidelines
Updates to 2021 E/M Office Coding Guidelines

In July 2019, the American Medical Association (AMA) published the “CPT Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes,” which were put into effect on January 1, 2021. These... Continue Reading

Date posted04/20/2021


Update & Guidance: 2021 CPT EM Office or Other Outpatient and Prolonged Services Code and Guideline
Update & Guidance: 2021 CPT EM Office or Other Outpatient and Prolonged Services Code and Guideline

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; David Smith, MBA, CPC; Trisha Malisch, CCS-P, CPC; Fadi Bsat, MD; Vanita Jain, MD Effective January 1, 2021, the Current Procedural Terminology (CPT) Evaluation and Management (E/M) Office or Other Outpatient... Continue Reading

Date posted02/1/2021


Update & Guidance: Additional Practice Expenses incurred during the COVID-19 Public Health emergency
Update & Guidance: Additional Practice Expenses incurred during the COVID-19 Public Health emergency

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Date posted09/21/2020


Coding for Remote Patient Monitoring Services – An Update
Coding for Remote Patient Monitoring Services – An Update

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Brian Iriye MD; Irina Rubina, CPC; Vanita Jain, MD. PURPOSE: Updated information and new coding guidance regarding remote patient monitoring (RPM) In the era of the current COVID-19... Continue Reading

Date posted06/16/2020


Utilizing E/M CPT Code 99211 when performing COVID testing
Utilizing E/M CPT Code 99211 when performing COVID testing

The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Vanita Jain, MD; Steve Rad, MD; Dave Smith, CPC, MBA; Trisha Malisch, CCS-P, CPC; Fadi Bsat, MD. The SMFM Coding Committee has previously provided guidance regarding E/M encounters in the era of the COVID-19 pandemic... Continue Reading

Date posted06/16/2020