20160930 - Save Up to 43% on CPC Training | Learn More

AAPC - August DL Sale: 50% OFF
Results 1 to 3 of 3

Thread: Failed Biophysical Profile

  1. #1

    Default Failed Biophysical Profile

    AAPC: CPC Promo
    What ICD-9 code would be used for repeat BPP? Baby fails first BPP, and has repeat later. Is V71.89 appropriate? Thanks for help.

  2. #2

    Default

    I am not expert in coding. but to come out with some clues I post this, breaking the silence!

    I dont understand the real meaning of 'Fetus failed BPP'. It is performed by the physician and BPP is reported by the physician. BPP done ,done and reported it as 10/10, 8/10, 6/10 or low, whatever. If the doctor is not satisfied with that score, she waits, repeats or goes for active management.

    You have definite CPT Codes for BPP 76819, and follow up or repeat study, can go for 76828..
    ICD-9 code, please check whether V code V67.59, V67.6 or V67.9 could fit in.More appropriately one from V28.3 encounter for routine fetal US NOS. It is Physicians discretion to say how many routine US BPP screening needed for a fetus at that time of pregnancy with the need for BPP. BPP can be repeated as many times as the condition warrants .
    My view is that there needn't be a routine status for BPP. BPP is done with the purpose fetal surveillence any number of times especially nearing term/labor the frequency can be often daily or twice a day. Then how can be label a stipulated routine. every encounter for BPP is a routine! as the condition needs.

    If not V.28.89.

    Check withV58.9 after care code.

    Please find out if there is code for abnormal or undiagnosed ultrasound findings.
    If not satisfied with any, undiagnosed 799.89 or 799.9.
    Yet another suggestion is ask/verify with your doctor about which part of the BPP is failing so that you can code from that failure of system(s)- say for eg, if breathing movement score , FHR, amniotic fluid score/level, fetal movements score, or fetal tone scor ewhich one is failing and you can code it or in combination of all those score-respiratory,cardiac, amn fluid or the movements.

    Let me give you the components of BPP:

    Amniotic fluid level score, fetal movement, FHR, respiratory movements (Breathing movements) and the Fetal (Muscle) tone; each one has two points to add up to the BPP to a total of 10.
    She or he would be definitely not happy with any or more of these scores to say the BPP to be repeated or take immediate management measures.

    By the way, my big question is :should we code for the result fo the BPP at all? or do away with just BPP done or repeated or follow up study enough to code ?

    we have our experts who would kindly help us in these aspects of coding, I hope and I am sure.

    Hope I gave some clues. Please try to work it out!!
    Last edited by preserene; 08-27-2010 at 05:34 PM.

  3. #3

    Default

    Or place it into the general term "fetal Distress"! Then we have the code. But the doctor has to document that; otherwise it never existed at all and we do not code.
    Last edited by preserene; 08-27-2010 at 02:17 PM.

Similar Threads

  1. profile
    By solocoder in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-28-2015, 05:54 AM
  2. Replies: 1
    Last Post: 01-14-2013, 10:56 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. Modified fetal biophysical profile
    By klcampbe in forum OB/GYN
    Replies: 4
    Last Post: 03-02-2010, 08:40 AM

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?

Login

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.