Effective April 1, 2022, there is a new series of ICD-10 codes for COVID-19 (Z28.31__) that was created to indicate that a patient is unvaccinated or ‘under-immunized’. There is also a new code (effective 4/1/2022) to identify patients who are ‘under-immunized’ status for... Continue Reading
In response to recent questions, this month’s Coding Tip is focused upon updating coding guidance for when a PR interval is performed. This Coding Tip is an update from prior guidance on this topic published in July 2017. The PR interval is often performed in attempt to identify early forms... Continue Reading
The SMFM Coding Committee received a recent inquiry regarding the usage of ICD-10 codes O09.512 and O09.522 when submitting charges after completing a 76811 exam on nulliparous and multiparous AMA patients in the second trimester. It was communicated that this family of ICD-10 codes used for this... Continue Reading
The Coding Committee recently received a question regarding how to bill for Genetic Counselors within the MFM practice. The Committee felt this was an opportune time to review coding & billing practices in this scenario. Coding for Genetic Counselors is not uniform across states and... Continue Reading
In ICD-10 trimester-based coding is utilized to identify the trimester during the encounter. Instructions about obstetric trimester-based billing is found in Chapter 15. The CMS and the NCHS (within the US Federal Government’s DHHS) provides these instructions in their ICD-10 CM manual. ... Continue Reading
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Effective each year on October 1, additions, deletions, and updates to the ICD-10-CM code set are published. This year, no significant changes were made to Chapter 15, the obstetrics chapter. However, there are a few new codes that could affect the practice of Maternal Fetal Medicine. The... Continue Reading
The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Steve Rad, MD; Amie Hollard, MD; Betzaida Martinez, CPCP, CPMA, COBGC, CPPM; Vanita Jain, MD MFM subspecialists frequently need to speak with other physicians for patient care coordination and/or are asked by other physicians to... Continue Reading
The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Mathew Esposito MD; Steve Rad, MD; Trisha Malisch, CCS-P, CPC; Fadi Bsat, MD; Vanita Jain, MD. The purpose of this coding tip is to provide guidance in coding service for patients with monochorionic diamniotic twins. SMFM has... Continue Reading
As of January 1, 2021, E/M code selection for CPT codes 99202-99215 may be based on time or medical decision-making (MDM). One of the elements used in selecting the level based on medical decision-making is diagnosis. This refers to the number and complexity of problems addressed at the... Continue Reading
In July 2019, the American Medical Association (AMA) published the “CPT Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes,” which were put into effect on January 1, 2021. These... 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
