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)
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