Results 1 to 5 of 5

Modified fetal biophysical profile

  1. Default Modified fetal biophysical profile
    Clearnace Sale
    We have providers performing a modified BPP, where an ultrasound for amniotic fluid volume index is combined with an NST. I am hearing conflicting information about how to code for this service. Some recommend reporting 76815 with 59025, and others recommend reporting the BPP (76819). Any recommendations?

  2. Default
    76818 is a BPP with NST, have you looked at this code?

  3. Default
    Yes, I've looked at that code. The problem, is they aren't doing 3 of the other 4 parts of the test. A BPP requires 1) fetal trunk and extremity movement; 2) fetal tone; 3) fetal breathing movement; 4) amniotic fluid volume;. They only do the AFI with the NST, so I'm not sure that I can report the BPP with NST.

    Thanks for your help.

  4. Default
    If they only do an AFI then I would code a brief u/s 76815 along with the nst 59025.

  5. Default
    Given the paranthetical note following code 76819 "(for AFI without non-stress test, use 76815)," and Meciare's CCI edit which precludes the reporting of 76815 and 59025 together unless performed during separate encounters, I would not recommend following the above recommendation to report these codes for the service.

    I do note the CPT Assistant articles which seem to clearly show that 76818 may not be repoorted without the performance of what they call the five key components; however, given the lack of direction on which code to use, I would consider 76818 with a -52 modifier.

Similar Threads

  1. profile
    By solocoder in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-28-2015, 06:54 AM
  2. Replies: 1
    Last Post: 01-14-2013, 11:56 AM
  3. Biophysical profile
    By lylelefever in forum Interventional Radiology
    Replies: 1
    Last Post: 06-27-2012, 12:03 PM
  4. Biophysical Profile/Gestational Diabetes
    By mcwhirter in forum OB/GYN
    Replies: 1
    Last Post: 03-25-2011, 11:20 AM
  5. Failed Biophysical Profile
    By mcwhirter in forum OB/GYN
    Replies: 2
    Last Post: 08-27-2010, 02:14 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.