nst

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    Wiki BPP then NST with E/M and then routine Ob

    This is a group practice – MFM and OBgyn MFM specialist at ultrasound location with unique tax id. Office obgyn is billing at another location with a unique tax id. 1ST ULTRASOUND SITE Mfm specialist interprets BPP BPP score 6/8 -2 for no breathing Recommends NST 2ND OFFICE FOR NST obgyn...
  2. E

    Wiki Diagnosis for NST

    The NST record states the indication is "Leaking Vaginal Fluid." NST results were "reactive." Patient discharged to home. What would you code as the reason for the visit? I'm thinking either O47.03 (False Labor) because the sub-description is "Threatened labor." The patient must have been...
  3. S

    Wiki NST with inpatient/outpatient stays

    When an OB patient is either admitted to OBED or inpatient and an NST is performed we are coding it with the medical necessity codes and a -26 modifier. Some payers are denying this as global; some are reimbursing. The CCI edits for 59025 show the NST is not reimbursable for inpatient or...
  4. K

    Wiki 59025,26 in the facility?

    Can the provider bill for 59025,26 (reading of the NST) in the facility (IP/Observation) or are they only allowed to bill for the FCT?
  5. K

    Wiki Modified fetal biophysical profile

    We have providers performing a modified BPP, where an ultrasound for amniotic fluid volume index is combined with an NST. I am hearing conflicting information about how to code for this service. Some recommend reporting 76815 with 59025, and others recommend reporting the BPP (76819). Any...
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