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Wiki nst labor checks

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Korbc

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hey guys,
I know previous discussions on this but just wanted to confirm because all the articles I've seen are pretty old. If pregnant patient comes in with false labor and contractions and pelvic pain she it at term. She was admitted for observation but then discharged and did not deliver 24 hours later can i charge for the NST that was done or no because it was considered labor check for the mother and not well being of the baby even though pelvic pain and contractions?

thanks so much!
 
vbednaz2@gmail.com said:
Yes, if she was d/c without delivery, that NST and/or observation visit is billable.
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thanks! and do you know if patient is having pelvic pain and contractions if nst done if i can still charge because it's technically not done for the well being of the baby but instead the well being of the mother? I've been seeing some guidance that you can't?
thanks so much!
 
Korbc said:
thanks! and do you know if patient is having pelvic pain and contractions if nst done if i can still charge because it's technically not done for the well being of the baby but instead the well being of the mother? I've been seeing some guidance that you can't?
thanks so much!
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An NST is only indicated when it is used to monitor the well-being of the fetus. Measuring contractions the mother is having is not an NST. The test measures the baby's response to contractions - ie, movement to ensure the baby is getting enough oxygen.
 
Korbc said:
so if the mother comes in for pelvic pain and we do an nst can i not charge the nst that was done because that's not something directly affecting the baby?
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You keep calling it an NST, but was it the billable NST or did they just hook the mother up to a monitor to see if she was having contractions? The first is billable, the second is not. What was the medical indication for checking the well-being of the fetus?
 
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