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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.

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Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic
Coding for Telemedicine and Remote Patient Monitoring Services during the COVID-19 Pandemic

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

Date posted03/18/2020


Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy
Interim ICD-10-CM Coding Guidance: Recommended Coding for COVID-19 and pregnancy

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

Date posted03/13/2020


Billing for pregnancy termination or delivery at 20+ weeks gestational age
Billing for pregnancy termination or delivery at 20+ weeks gestational age

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

Date posted03/1/2020


Abnormal findings on antenatal screening of mother
Abnormal findings on antenatal screening of mother

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

Date posted12/1/2019


Medical Necessity for Multiple Ultrasounds
Medical Necessity for Multiple Ultrasounds

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

Date posted11/1/2019


Report umbilical cord and certain placental issues that occur in the antepartum period
Report umbilical cord and certain placental issues that occur in the antepartum period

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

Date posted07/31/2019


Coding for Placenta Accreta Spectrum
Coding for Placenta Accreta Spectrum

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

Date posted05/17/2019


NEW ICD-10-CM Codes for 2019
NEW ICD-10-CM Codes for 2019

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

Date posted09/30/2018


Descriptions and Required Components for CPT 76805, 76815 and 76816 ultrasound procedures
Descriptions and Required Components for CPT 76805, 76815 and 76816 ultrasound procedures

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

Date posted03/31/2018


ICD-10 Coding – Size/Dates Discrepancy vs. Fetal Growth Issues
ICD-10 Coding – Size/Dates Discrepancy vs. Fetal Growth Issues

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

Date posted01/31/2018


The Use of Delivery Codes by the Maternal Fetal Medicine Physician
The Use of Delivery Codes by the Maternal Fetal Medicine Physician

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

Date posted12/31/2017


Billing of 76801 and/or 76813 with cfDNA screening
Billing of 76801 and/or 76813 with cfDNA screening

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

Date posted11/9/2017