Go Back   AAPC Forum > Medical Coding > OB/GYN
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 11-19-2008, 01:43 PM
pennyann111 pennyann111 is offline
Join Date: Apr 2007
Location: Kalamazoo
Posts: 8
pennyann111 is on a distinguished road
Default Nst

Does anyone know where I can find documentation requirements for billing out Non Stress Tests? I am sure somewhere I read something on this but cannot seem to recall. I have a doctor who I need to get this info to quickly.
Reply With Quote
Old 11-21-2008, 01:51 PM
yt yt is offline
Join Date: Apr 2007
Posts: 20
yt is on a distinguished road

From Society of Maternal Fetal Medicine website.

Date: 6-10-2008

There is a difference in just placing a patient on a monitor to see if she is contracting versus performing a complete NST. When billing for a NST (59025), the following must be included in your final interpretation.

Patient Name
Date of Service
Gestational Age
Indication for test
Interpretation (eg. reactive, non-reactive, reassuring)
Fetal Heart Rate Baseline
Periodic Changes
Recommended Follow-up
Physician Signature

If this is provided in the hospital, the Modifier-26 (Professional Component Only) should be appended to the NST (59025). If the test was performed in your office setting and it is deemed a "free standing clinic setting", thus services reported under the a place of service of 11, then you would be reporting the full component.

The CPT Code 59050 is reported for fetal monitoring during labor by consulting physician (i.e., non-attending physician) with written report; supervision and interpretation with written report; supervision and interpretation.

The CPT Code 59051 would be reported for the interpretation only for fetal monitoring during labor by consulting physician (i.e., non-attending physician)
Reply With Quote
Old 11-04-2010, 12:32 AM
sugihara sugihara is offline
Join Date: Apr 2007
Posts: 23
sugihara is on a distinguished road

What about fetal monitoring when the mother is not in active labor?

~Kelli S.
Reply With Quote
Old 11-04-2010, 12:05 PM
preserene preserene is offline
True Blue
Join Date: Apr 2007
Posts: 993
preserene is on a distinguished road

nonstress test (NST) the monitoring of the response of the fetal heart rate to fetal movements by cardiotocography. In other words, a noninvasive test is a monitoring test in which fetal movements are monitored and recorded, along with changes in fetal heart rate.
[That is to explain: As the pregnancy progresses, the doctor will continue to check the fetal heart tones and will eventually schedule the mother for a non-stress test. The non-stress test (NST) monitors the fetal heart rate at the same time a toco transducer measures the mother's uterine contractions. Late in pregnancy, the uterus contracts – even though the mother cannot feel contractions – and the baby responds to these gentle contractions. The NST checks for a healthy fetal response to these contractions.]
The one done during labor is called PARTOGRAM. It is a programmed labor, a part of indeginous protocol to optimize labor outcome- depicting the picture the relation and the outcome of cervical dilation, fetal heart rate and the uterine contraction in timely fashion.
Partography denotes the graphic representation of cervical dilation on atimed scale time curve of labor.When patient in labor, the consulting physician has to monitor and write report (CPT CODE 59050),
When the consult is requested to for interpretation of the partograph , the code 59051 appropriates.
The NST can be done by attending Physician and reported with 59030.
So Sugihara, the NST is the monitoring (recording) of uterine contraction and the Fetal heart rate and its response to the uterine contraction, when the patient is not in active labor.
Reply With Quote
Old 08-02-2012, 03:34 PM
jon.lardizabal jon.lardizabal is offline
Join Date: Apr 2007
Posts: 2
jon.lardizabal is on a distinguished road

Is NST the same as the normal/regular fetal heart monitoring done during delivery? Pretty much all deliveries involve some form of FHR monitoring, does this mean we code this every single time?
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 04:09 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC