The specific amount you’ll owe may depend on several things, like:
Stress, not elsewhere classified. Z73.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z73.3 became effective on October 1, 2021.
The Non-Stress Test (NST) is an assessment tool used from 32 weeks of gestation to term to evaluate fetal health through the use of electric fetal monitors that continuously record the fetal heart rate (FHR).
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z36. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed.
suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15
The 2021 edition of ICD-10-CM Z36 became effective on October 1, 2020.
Encounter for fetal screening for congenital cardiac abnormalities 1 Z36.83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for fetal screening for congenital cardiac abnlt 3 The 2021 edition of ICD-10-CM Z36.83 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z36.83 - other international versions of ICD-10 Z36.83 may differ.
Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease. Type 1 Excludes. diagnostic examination- code to sign or symptom.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
The 2022 edition of ICD-10-CM Z36.83 became effective on October 1, 2021.
The procedure is noninvasive and typically takes 20 to 40 minutes to perform. However, if a reassuring test is achieved within the first 10 minutes or less, the patient does not have to be monitored for the additional time. CPT code 59025 can be conducted as many times as medically necessary.
For patients with conditions complicating pregnancy, 59025 is typically performed weekly beginning in the mid to latter part of the third trimester and continuing until delivery.
The non-stress test may be the primary means of fetal surveillance for many high risk pregnancies. Proper diagnostic reporting to justify the medical necessity and documentation is important to ensure appropriate reimbursement.
Ultrasound code selection is based on the gestational age, number of fetuses, and medical necessity. The physician or other qualified healthcare professional may perform an ultrasound on a patient in her first trimester to determine the number of sacs and to survey the fetal structures, amniotic fluid, and maternal structure. Coding for this service is:
First trimester screening is offered to determine the risk of certain chromosomal conditions. This screening entails:
76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation
The physician or other qualified healthcare professional may perform an ultrasound on a patient after her first trimester to evaluate the maternal and fetal structures. Coding for this ultrasound is:
MFM is the practice of caring for patients with complications of pregnancy. In essence, MFM is consultative. MFM specialists generally don’t always perform deliveries; but they might determine when it’s time for delivery.
The patient (s) may be the mother, the unborn infant (s), or both. Maternal-fetal medicine is a recognized sub-specialty of ob-gyn with its own taxonomy code (207VM0101X). This is important to know when credentialing your maternal-fetal medicine specialist because it can make a difference in reimbursement.
Amniocentesis may be diagnostic or therapeutic. A diagnostic amnio may involve sending the fluid to a lab for genetic testing.