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.
If a patient has a diagnosis of obesity (BMI ≥ 30) O99.21__ (obesity complicating pregnancy, childbirth and the puerperium) is an accepted indication for a detailed fetal anatomy survey (CPT 76811) according to published guidelines. To determine BMI in a pregnancy affected by obesity, we... 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
The global maternity care package includes all the services normally provided in uncomplicated maternity cases. There are services that may or may not relate to the pregnancy which are outside of the Global OB care and should be reported separately. These include but not limited... Continue Reading
When a patient presents after having been involved in an accident, such as a motor-vehicle collision or fall: > If the patient is being observed without symptoms, code O9A.21X, Injury, poisoning, and certain other consequences of external causes complicating pregnancy. This code should be... Continue Reading
Previous Code E78.4 Other hyperlipidemia New Code(s) E78.41 Elevated lipoprotein(a) E78.49 Other hyperlipidemia Previous Code F53 Puerperal psychosis New Code(s) F53.0 Postpartum depression F53.1 Puerperal psychosis Previously, there was no code for postpartum... Continue Reading
A vanishing twin (or fetal resorption) is a fetus in a multi-gestation that fails to develop or dies in utero and is then partially or completely resorbed. Fetal numbering is most commonly determined by ultrasound. The baby positioned lowest in the uterus is usually given the designation of... Continue Reading
Frequently, patient documentation will state, “Patient has a history of _______.” However, in ICD-10-CM diagnosis coding for pregnancy, the code selection is completely different if the patient’s condition is in the current pregnancy, or if it pre-dated the current pregnancy.... Continue Reading
Twin gestations may deliver on the same day or there may be a time interval between the delivery of the first and second twins. Which ICD-10 to associate with the delivery will depend on whether the twins are delivered on the same day or on separate days, and whether they are both born alive or if... Continue Reading
ccording to the ICD-10cm official guidelines for coding and reporting (fiscal year 2018) Chapter 15: pregnancy, Childbirth and the Puerperium; section 4. (e.g., page 19 of 117), if multiple conditions prompted the admission, sequence the one most related to the delivery as the principal... Continue Reading
Use of the uterine size/dates discrepancy code set (O26.841-O26.849) is appropriate when the measurement between the symphysis pubis and the top of the fundus is not consistent with the stated dates. There may be a diagnosis of uterine size/dates discrepancy, whether the fetus itself is large,... 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
The Current Procedural Terminology (CPT) book divides the codes for pelvic ultrasound services into two categories: Obstetrical (76801-76828) and Nonobstetrical (76830-76857). However, how does one know which category to use? An appropriate obstetrical ultrasound code should be selected... Continue Reading
