Billing and Coding Guidelines for Wound Care. Cochrane Database Syst Rev. These researchers also assessed the association between uterine artery pulsatility index, notching and serum YKL-40 levels. Billing Fetal Non-Stress Test (NST) 59025. 2008;32(4):243-246. Maternal characteristics, serum concentrations of PAPP-A and free -hCG were ascertained and Ut-A Doppler, UA, and DV Doppler studies were performed. Ultrasound Obstet Gynecol. .strikeThrough { Bi-variate pooled estimate for sensitivity was 65 % (95 % CI: 38 to 85 %) and for specificity it was 82 % (95 % CI: 72 to 88 %). Fetal and umbilical Doppler ultrasound in high-risk pregnancies. Am J Obstet Gynecol. Harrington K, Carpenter RG, Goldfrad C, et al. The consent submitted will only be used for data processing originating from this website. Guidelines from the American College of Obstetricians and Gynecologists (ACOG, 1999) have concluded that, "[o]n balance, the available evidence suggests that primary antepartum surveillance of suspected intrauterine growth restriction with umbilical artery Doppler velocimetry can achieve at least equivalent (and possibly better) fetal and neonatal outcomes as primary antepartum surveillance based on results of the NST [non-stress test]. Alternatively, acoustic stimulation is applied to the maternal abdomen for 1 to 2 seconds and the fetal heart rate is recorded. Br J Obstet Gynaecol. Because observation may span multiple calendar dates you might be wondering how is this billed following line item billing guidelines? Uni-variable and multi-variable logistic regression analyses were performed to determine which biophysical factors, and which of the factors among the maternal characteristics and medical and obstetric history, had a significant contribution to the prediction of PE in a multi-parametric model. To perform CST, the fetal heart rate and uterine contractions are simultaneously recorded with an external fetal monitor. Umbilical artery Doppler flow velocimetry has been adapted for use as a technique of fetal surveillance, based on the observation that flow velocity waveforms in the umbilical artery of normally growing fetuses differ from those of growth-restricted fetuses. Relevant documents were identified using PubMed (US National Library of Medicine, 1983 through 2011) publications, written in English, which describe the peri-partum outcomes of IUGR according to Doppler assessment of umbilical arterial, middle cerebral artery, and ductus venosus. Here's What You Need to Report 59025 : READER QUESTIONS - AAPC 2016;19(5):721-739. Intrapartum fetal assessment. A patient is referred to another physician during her pregnancy. Contractor Number . 8. Nevalainen J, Korpimaki T, Kouru H, et al. Goffinet F, Paris-Llado J, Nisand I, Breart G. Umbilical artery Doppler velocimetry in unselected and low risk pregnancies: A review of randomised controlled trials. You should add modifier 26 to 59025 because the hospital owns the equipment and will report for that portion of the service. color: red!important; Did you report combo code 58152 rather than 51840? . Yes. The above services are not separately reimbursed when submitted separately from the global OB code.

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