From Society of Maternal Fetal Medicine website.
There is a difference in just placing a patient on a monitor to see if she is contracting versus performing a complete NST. When billing for a NST (59025), the following must be included in your final interpretation.
Date of Service
Indication for test
Interpretation (eg. reactive, non-reactive, reassuring)
Fetal Heart Rate Baseline
If this is provided in the hospital, the Modifier-26 (Professional Component Only) should be appended to the NST (59025). If the test was performed in your office setting and it is deemed a "free standing clinic setting", thus services reported under the a place of service of 11, then you would be reporting the full component.
The CPT Code 59050 is reported for fetal monitoring during labor by consulting physician (i.e., non-attending physician) with written report; supervision and interpretation with written report; supervision and interpretation.
The CPT Code 59051 would be reported for the interpretation only for fetal monitoring during labor by consulting physician (i.e., non-attending physician)
- ICD-10 Training
- Exam Preparation
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Code Lookup with AAPC Coder
- Coding Data Files
- ICD-9 to ICD-10 Code Converter (FREE)
- Other ICD-10 Codes / Resources
- CPT Codes
- HCPCS Codes
- E/M Analyzer (FREE)
- CPT RVU Calculator (FREE)
- Risk Adjustment Search (FREE)
- PQRS Measure Search (FREE)
- Health Plan / Provider Policy Search (FREE)
- MACRA Calculator
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join