AAPC - Back to school
Results 1 to 2 of 2

Thread: Amnisure

  1. #1

    Question Amnisure

    AAPC: Back to School
    Does anyone bill for amnisure? What is the CPT code or is it considered part of the OB global charge?

  2. #2


    The procedure is inclusive to antepartum care

    Here is a paste from May 2009 AAPC forum question that references to an ACOG response

    I inquired with ACOG about the Amnisure as well, here is the response I received: "There is no specific CPT-4 code for the amniotic fluid swab test (Amnisure). The swab test is considered a minimal procedure and would be included as part of the pelvic exam."

    Here is a link for Aetna just to give a payer specific view on this.

    Aetna considers the AmniSureTM ROM (rupture of membranes) test experimental and investigational for detecting preterm ROM and all other indications because of insufficient evidence of its clinical effectiveness over standard diagnostic methods for detecting ROM.

    Aetna then specifically states what CPT and ICD they WILL NOT cover: (in other words "don't bother billing us for these")

    CPT Codes / HCPCS Codes / ICD-9 Codes
    HCPCS codes not covered for indications listed in the CPB:
    S3628 Placental alpha microglobulin-1 rapid immunoassay for detection of rupture of fetal membranes

    ICD-9 codes not covered for indications listed in the CPB (not all-inclusive):
    630 - 677 Complications of pregnancy, childbirth, and the puerperium
    V22.0 - V23.9 Supervision of pregnancy
    V28.8 Other specified antenatal screening

Similar Threads

  1. Amnisure
    By apeacock in forum OB/GYN
    Replies: 1
    Last Post: 12-13-2013, 06:45 AM
  2. Amnisure Coding/Billing
    By Sueedwards in forum OB/GYN
    Replies: 1
    Last Post: 07-08-2013, 06:14 PM
  3. Amnisure
    By rrussell in forum OB/GYN
    Replies: 1
    Last Post: 05-20-2009, 08:31 AM
  4. Amnisure
    By LanaW in forum OB/GYN
    Replies: 0
    Last Post: 07-23-2008, 02:47 PM

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.