Wiki NST during labor

[MarineMom1]

Hi All,
Can someone tell me if I can charge extra for NST read during the patients labor at the hospital. This is the note: The patient was admitted. Cervical exam 60% effacement, 4 cm dilatation, vertex presentation, and -2 station. Beta strep cultures verified to be negative. NST was noted to be reactive. Amniotomy was performed at 0732 hrs with clear fluid noted. Pitocin induction was complete -complete at 1246 hrs and began pushing.....?

If I can would the code be 59020-26? or 59025-26

Is this included in the obcare and delivery package 59400 for vag del?

Thanks!
MarineMom1

 

[aslonsky]

NST's are not included in global obstetrical care according to coding guidelines - but could very with payer guidelines. I don't have any issues getting NST's during labor paid. It would be the 59020-26 if the NST was performed during the pitocin induction and 59025-26 if it was not.