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
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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
Telemedicine is the delivery of medical care or services from a distant site. Telemedicine provides two-way, communication between a patient and healthcare provider at a distant site. The communication is supported by audio and video equipment that allows a physician at the main hospital/office to... Continue Reading
Gestational Diabetes ICD-10 Codes: New codes have been added to indicate when gestational diabetes (diabetes that starts during pregnancy) is controlled by oral hypoglycemic drugs, during pregnancy, childbirth or in the puerperium: O24.415 Gestational diabetes mellitus in pregnancy, controlled... Continue Reading
The Zika virus is a mosquito-borne virus that has been associated with congenital defects, primarily of the central nervous system. According to the CDC, clinicians should screen women who have traveled to known areas of Zika transmission. Pregnant women who report clinical illness consistent... Continue Reading
Currently, there is no ICD-10 code for cervical shortening in the first trimester. However, the cervix could be short in the first trimester due to prior cervical procedures, congenital malformations, previously diagnosed cervical insufficiency, etc. In those situations, the suggested codes to... Continue Reading
One of the biggest changes in ICD-10 conventions, compared to ICD-9, is the EXCLUDES note. In ICD-9, the alert was simply “EXCLUDES…”. In ICD-10, the alert has been expanded to accommodate two concepts: EXCLUDES 1 and EXCLUDES 2. Excludes 1 means NOT CODED HERE. The code(s)... Continue Reading
Do you remember Aesop's Fables story of "The Boy Who Cried Wolf"? Many times the boy tells the villagers that a wolf is attacking his flock. He tells them so many times that one day when the wolf really is attacking, no one believes him. Does this sound a little like the government and ICD-10? ... Continue Reading
The American Congress of Obstetricians and Gynecologists have reported a projected decrease in the workforce over the next two decades.1 This anticipated change in supply and demand is correlated with the demographic changes among physicians and patients, the aging population, and the relatively... Continue Reading