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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


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


Fetal Laser and Surgery
Fetal Laser and Surgery

Twin to twin transfusion syndrome (TTTS) is one of the most challenging clinical problems in monochorionic multifetal gestations with mortality rates as high as 80% if left untreated. Fetoscopic laser photocoagulation is described as the preferred method of treatment for select or severe cases of... Continue Reading

Date posted11/9/2017


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


Perinatal Telemedicine
Perinatal Telemedicine

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

Date posted10/31/2016


Reporting Critical Care Services
Reporting Critical Care Services

Critical Care Services Critical care is the direct delivery by a physician(s) of medical care for a critically ill, critically injured, or unstable patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life... Continue Reading

Date posted12/31/2015


Non-Physician Providers in Maternal Fetal Medicine
Non-Physician Providers in Maternal Fetal Medicine

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

Date posted06/17/2015


Inpatient Ultrasound Services provided by a Private Office located in proximity of the Hospital
Inpatient Ultrasound Services provided by a Private Office located in proximity of the Hospital

The SMFM Coding Committee frequently receives questions on the appropriate way to report and receive reimbursement when ultrasound services are provided to hospitalized patients.Global Billing-services are provided and can be billed as Global only when the practice:* owns or leases the equipment,... Continue Reading

Date posted02/6/2013


Ultrasound Code 76811
Ultrasound Code 76811

The CPT 76811 (Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination) is not intended to be the routine scan performed for all pregnancies. Rather, it is intended for a known or suspected fetal anatomic, genetic... Continue Reading

Date posted12/31/2012


Ultrasound Code 76811 - Revised
Ultrasound Code 76811 - Revised

Dear Members, and Coders:It is felt by all organizations involved in the codes development and description that only one medically indicated CPT 76811 per pregnancy, per practice is appropriate. Download the PDF Continue Reading

Date posted05/31/2012


Utilizing Nurse Practitioners
Utilizing Nurse Practitioners

Several members have approached the SMFM and inquired about the options for billing for services performed by a Nurse Practitioner.The way you report the service depends on how the payers have the Nurse Practitioner credentialed. When billing for a Non‐Physician Provider (NPP), you have the... Continue Reading

Date posted05/31/2012


"Radiology Bundling Rule Reimbursement Reduction" for Obstetrical Ultrasound Studies
"Radiology Bundling Rule Reimbursement Reduction" for Obstetrical Ultrasound Studies

This White Paper will deal with the “Radiology Bundling Rule” (RBR) to provide the SMFM Coding Committees recommendations for the optimal reporting and obtaining proper reimbursement for multiple obstetrical ultrasounds performed on the same day with special focus on avoiding second... Continue Reading

Date posted02/29/2012