How do you bill a fetal non-stress test?
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How do you bill a fetal non-stress test?
If a true NST is performed and documented and the physician has interpreted the results, then the obstetrician can bill for it using 59025–59026.
How often can 59025 be billed?
CPT code 59025 can be conducted as many times as medically necessary.
Is 59025 a surgical code?
CPT® 59025, Under Antepartum and Fetal Invasive Services for Maternity Care and Delivery. The Current Procedural Terminology (CPT®) code 59025 as maintained by American Medical Association, is a medical procedural code under the range – Antepartum and Fetal Invasive Services for Maternity Care and Delivery.
How do I bill for CPT 59025?
Usually, the only time it is appropriate to use the code 59025 in medical billing is if the OB-Gyn has a documented reason for performing the procedure. For instance, if the mother hasn’t felt much movement or if the physician detects a weak heartbeat. In these instances CPT 59025 would be appropriate.
Can 59025 and 76815 be billed together?
You should be able to bill the 76815 with the 59025 without a modifier. The only combo to watch for is the BPP 76818/19 with and without NST. If the same provider does both, use the combo code. If a separate provider does each, you need a 59 on the NST.
Is a fetal non stress test and ultrasound?
A biophysical profile combines a nonstress test with a fetal ultrasound that evaluates your baby’s breathing, body movements, muscle tone and amniotic fluid level. Contraction stress test. This test looks at how your baby’s heart rate reacts when your uterus contracts.
When should modifier 26 be used?
Modifier 26 is defined as the professional component (PC). The PC is outlined as a physician’s service, which may include technician supervision, interpretation of results and a written report. Use modifier 26 when a physician interprets but does not perform the test.
What are lab modifiers?
Reference (Outside) Laboratory: When laboratory procedures are performed by a party other than the treating or reporting physician, the procedure may be identified by adding the modifier 90 to the usual procedure number.
Can 59025 and 76818 be billed together?
In order to report code 76818, these five variables must be performed. Since fetal nonstress test is included in code 76818, code 59025, Fetal nonstress test, should not be reported separately.
What does modifier 26 indicate in medical billing?
Definitions. Current Procedural Terminology (CPT®) modifier 26 represents the professional (provider) component of a global service or procedure and includes the provider work, associated overhead and professional liability insurance costs.
Who can bill modifier 26?
To claim only the professional portion of a service, CPT® Appendix A (Modifiers) instructs you to append modifier 26 to the appropriate CPT® code. Appropriate Usage: To bill for only the professional component portion of a test when the provider utilizes equipment owned by a hospital/facility.
