I’m coding for a BPP w/o NST and I need some opinions regarding part of the narrative. The test was ordered due to "marked decrease in fetal movement at 30 wks gestation" and the provider documented this:

IMPRESSION:
1. Biophysical profile score is 8 out of 8.
2. Fetal heart rate recorded at 110 bpm at both beginning and end of the exam for this 30-week gestation period. Clinical correlation is suggested.

I coded Z03.79 and Z3A.30, but am being told I should include an additional code for the fetal heart rate issue "because he documented it". :confused: