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Fetal Echo and Dopplers
I need help!
I am semi-new to OB billing.
My question is in reference to Fetal echos and Doppler studies together.
76825
76827
93325
The doctor wants to also bill 76821 & 76820 with the above codes.
He is stating its always done together.
This is an example of one interpretation:
"The patient presents for a fetal echocardiogram due to IVF using partients own frozen egg (31 years old) and cervial length
evaluation. OB history significant for one full term vaginal delivery.
Transabdominal sonography reveals a viable fetus in breech presentation. Maximum Vertical Pocket of amniotic fluid appreciated
measures 3.2 cm with good fetal movement observed.
Fetal Doppler studies are within normal limits.
A detailed examination of the fetal cardiac structures was performed using 2D, M-Mode, color Doppler and spectral Doppler
Echocardiographic techniques.
The fetal situs was normal. The examination revealed a normal appearing 4 chamber view and a normal left axis deviation.
Cardiac size and location were within the normal limits. Cardiac chambers were within the normal limits. Both the interventricular
and interatrial septa were visualized and appeared to be without any defects.
The aortic and pulmonary outflow tracts were visualized and noted to be arising out of the left and right ventricles respectively. The
cross-over relation of the outflow tracts was clearly visualized. The inferior vena cava, superior vena cava and pulmonary veins
were seen and appeared within the normal limits.
M-Mode echo examination revealed a normal sinus rhythm. The fetal heart rate was regular throughout the exam period."
Does that one line justify 76821 & 76820.
I have been searching and searching and can not find anything on these 5 codes together. As far as CCI edits it seems to be fine but i just need to know if they should even be billed.
Thank you to anyone who can shed some light on this!
Irene Canela, CPC, CPB
Maternal Fetal Med o35.5xx0
I haven’t felt comfortable using that code. Any suggestions?
Fetal Biophysical Profile Score
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:
persistent fetal umbilical vein in pregnancy
Pt in third trimester is in for routine OB visit and ultrasound review.
Assessment/Plan:
1. Fetal persistent right umbilical vein — limited fetal echo. Consideration of neonatal echo is recommended.
2. AGA — EFW 22% at 35 weeks.
BTW, a co-worker tells me not to code fetal conditions UNLESS they affect management of mother’s care (e.g., further workup is planned, which is not the case here).
So this is a two-part question: Do I code it, and if yes, what code do I use?
Thank you! I appreciate any suggestions.
Intra uterine Fetal death evacuation
The below OT notes was one of our hospital case. I suggested 59100.Please guide me what CPT code i can use other than what i mentioned.This is hysterectomy procedure for Uterine fetal death.
UNDER ASEPTIC MEASURES ,PT CLEANED AND DRAPPED
INCISION; SUPRAPUBIC TRANSVERSE INCISION
PROCEDURE; INCISION DONE IN OLD SCAR
DEATH BABY DELIVERED
PLACENTA AND MEMBRANES DELIVERED COMPLETELY,
HAEMOSTASIS SECURED
UTERUS CLOSED IN LAYERS, NO PPH SEEN
UTERUS CONTRACTED
ABDOMEN CLOSED IN LAYERS AFTER SPONGE AND INSTRUMENT COUNT
SKIN CLOSED SUBCUTICULAR
URINE CLEAR AT END
Thanks and regards
Ravi