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Biophysical Profile/Gestational Diabetes

  1. Default Biophysical Profile/Gestational Diabetes
    Medical Coding Books
    Blue Cross is now denying claims for Biophysical Profiles/76819 using the diagnosis Gestational Diabetes/648.83. Has anyone dealt with this who may have a suggestion? Thank you!

  2. Default
    Gestational period,insulin dependency, fetal factor, previous obstetric records/ and or the medical necessity documentation from the provider etc may make relevance for the validity of doing the BPP and avoid denial.
    And for (eg) a V-code may be needed in addition to the primary code , if the patient is on insulin in pregnancy

    Well, could you send the notes with more details?.
    Not all gestational diabetes requires BPP any time /all the time.
    Last edited by preserene; 03-25-2011 at 11:22 AM.

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