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Thread: Twin stress test

  1. #1
    Join Date
    Apr 2007

    Default Twin stress test

    AAPC: Back to School
    Hello All,

    If I cod efor the stress test, 59025, do I add another 59025 for the twin or is there just the one code for multiple fetuses?


  2. #2


    i'VE never done multi. let me know if i should be, i've missed few if it's right

  3. #3


    You would bill the 59025 on 2 lines with a modifier 59 on the 2nd nst. be sure the 651.03 is also on the diagnosis. Hope this helps.

  4. #4
    Join Date
    Apr 2007


    Thank you.


  5. #5


    It is not a test done twice for twin pregnancy.
    The test is the same as done for singleton pregnancy-one and the same time at one session, but only two straps are placed on the abdomen of the mother to record two Fetal Heart rates on the same paper; meaning, that there will be two lines of FHR recording on the same paper side by side.
    The performance time, the recording are all done with the same single machine.
    I dont understand how it merits for two NST or two lines or x2, or -59.
    Well, placing the two straps mounts to-59, I dont think so obviously. But for placing two straps, it involves nothing more in the procedure. May be sometimes modifier -22 can ???!! Even this I doubt.
    However it is a point to research!!
    Thank you.
    Last edited by preserene; 05-06-2011 at 06:43 PM.

  6. #6


    Yes, code 59025, 59025-59 with the twin diagnisis. We do it often and always get paid.

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