Nst - Does anyone know where I can find

[pennyann111]

Does anyone know where I can find documentation requirements for billing out Non Stress Tests? I am sure somewhere I read something on this but cannot seem to recall. I have a doctor who I need to get this info to quickly.
Thanks

[yt]

From Society of Maternal Fetal Medicine website.

Date: 6-10-2008

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.

Patient Name
Date of Service
Gestational Age
Diagnosis
Indication for test
Interpretation (eg. reactive, non-reactive, reassuring)
Fetal Heart Rate Baseline
Periodic Changes
Recommended Follow-up
Physician Signature

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)

[sugihara]

What about fetal monitoring when the mother is not in active labor?

~Kelli S.

[preserene]

nonstress test (NST) the monitoring of the response of the fetal heart rate to fetal movements by cardiotocography. In other words, a noninvasive test is a monitoring test in which fetal movements are monitored and recorded, along with changes in fetal heart rate.
[That is to explain: As the pregnancy progresses, the doctor will continue to check the fetal heart tones and will eventually schedule the mother for a non-stress test. The non-stress test (NST) monitors the fetal heart rate at the same time a toco transducer measures the mother's uterine contractions. Late in pregnancy, the uterus contracts – even though the mother cannot feel contractions – and the baby responds to these gentle contractions. The NST checks for a healthy fetal response to these contractions.]
The one done during labor is called PARTOGRAM. It is a programmed labor, a part of indeginous protocol to optimize labor outcome- depicting the picture the relation and the outcome of cervical dilation, fetal heart rate and the uterine contraction in timely fashion.
Partography denotes the graphic representation of cervical dilation on atimed scale time curve of labor.When patient in labor, the consulting physician has to monitor and write report (CPT CODE 59050),
When the consult is requested to for interpretation of the partograph , the code 59051 appropriates.
The NST can be done by attending Physician and reported with 59030.
So Sugihara, the NST is the monitoring (recording) of uterine contraction and the Fetal heart rate and its response to the uterine contraction, when the patient is not in active labor.

[jon.lardizabal]

Is NST the same as the normal/regular fetal heart monitoring done during delivery? Pretty much all deliveries involve some form of FHR monitoring, does this mean we code this every single time?