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.
The ICD-10 O28 code series are used to describe abnormal findings on antenatal screening of mother as a reason for an encounter. The series includes O28.0 – O28.9. In order to better understand the O28 code series, the corresponding ICD-10 descriptors along with some additional notes and... Continue Reading
The CPT code book clearly indicates that multiple ultrasound services that occur during a single encounter can each be reported separately. However, before payers will reimburse for multiple ultrasound services, the medical necessity of each service must be established. These four tips will help... Continue Reading
The International Classification of Disease, 10th edition (ICD-10-CM), has a specific code category for umbilical cord complications (O69). However, the use of codes from this category is limited to the labor and delivery period. Using codes from this category during the antepartum period,... 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
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
Recently, our membership has had questions regarding the appropriate use and required components of CPT codes 76805, 76816 and 76815. This coding tip reviews the components of each imaging study, as well as provides some clinical scenarios of appropriate use: It is important to distinguish,... 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
Important Tips: 1. It will be relatively rare for an MFM physician to bill global obstetric care, because some portion of the antepartum service will have typically been provided by an obstetrician unaffiliated withhis/her practice. The most common occasion in which it will occur is when an MFM... 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
SMFM Coding CommitteeNewsletter Coding Tip – August 2017ICD-10-CM Changes for 2018With the adoption of the International Classification of Diseases, 10th edition, Clinical Modification (ICD-10-CM), Maternal Fetal Medicine (MFM) specialists lost the opportunity to be specific in assigning... Continue Reading
Cerclage placement may be indicated based on 1) obstetrical history of cervical insufficiency; 2) physical examination findings concerning for cervical insufficiency; or 3) for a history of preterm birth with ultrasound evidence of cervical shortening. In recent years, placement of exam or... Continue Reading
One challenge for ICD-10-CM code selection for MFM is the presentation of symptoms or conditions for which a precise diagnosis code doesn’t exist. ICD-10-CM offers several categories and subcategories from which to choose. They are: O09.89- Supervision of other high risk... Continue Reading
