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Wiki maternal fetal management 76816,93325,93976

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maine4me

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We bill for a maternal fetal management group, and are having some difficulty getting paid by Aetna. I have a patient who is 24 weeks pregant with twins. Note indicates patient sent to MFM due to twin pregnancy, chronic hypertension, and to monitor fetal growth. The doctor billed a 76816, 93325, and 93976. I do not see any indication of the echo or the arterial flow study on the note. So I have two questions.
1. Should I see specific indications that these two procedures were performed?

2. What indicators should I look for in the note?
 
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