The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC, Vanita Jain, MD The SMFM Coding Committee previously published interim coding guidance for encounters related to the 2019 novel coronavirus disease (COVID-19) for maternal-fetal medicine... Continue Reading
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The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Vanita Jain, MD The SMFM Coding Committee has recently published coding guidance for COVID-19 and pregnancy (https://www.smfm.org/covid19). Due to recent concerns about decreasing exposure... Continue Reading
The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Dave Smith, CPC, MBA; Trisha Malish, CCS-P, CPC; Vanita Jain, MD The purpose of this document is to provide maternal-fetal medicine subspecialists interim coding guidance for telemedicine and remote patient monitoring... Continue Reading
The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Trisha Malisch, CCS-P, CPC; Steve Rad, MD; Vanita Jain, MD The purpose of this document is to provide interim diagnosis coding guidance for encounters related to the 2019 novel coronavirus (COVID-19) for maternal-fetal medicine... Continue Reading
Starting at 20 weeks 0 days, the appropriate maternity care and delivery code (594XX) with the relevant diagnosis (e.g. O36.4XX_ maternal care for intrauterine death) is billed for pregnancy terminations (eg, D&E) and delivery. If applicable, you could also report 76988-26 for ultrasound... Continue Reading
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