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NST during labor

  1. #1
    Default NST during labor
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    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?


  2. #2
    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.

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