59025 billing guidelines

Ceska Gynekol. Question: Our ob-gyn practice is now certified to do nuchal translucency risk assessment. 29. Br J Obstet Gynaecol. Serum IMA, complete blood count (CBC), liver function tests (LFT), renal function tests (RFT), albumin, and C-reactive protein (CRP) were measured in the mothers immediately before birth, and in the cord blood and serum of the newborns at 6 and 24 hours after birth. list-style-type: lower-roman; Logistic regression with step-wise selection was carried out to determine multi-variate models. Medical Claims Processor Job Opening in El Paso, TX at Assured Benefits Ultrasound in the diagnosis of twin-to-twin transfusion syndrome--a preliminary report. 1997;104:431-435. Maternal - Fetal Medicine Billing and CPT Codes - MedConverge Find out, Learn These In-House Lab Codes And Lasso Reimbursement, Tests with different names don't always mean different codes, See How Your Hysterectomy Responses Measure Up. OB GYN Reimbursement Rate Methodology White Paper. text-decoration: underline; Use modifier TC when the physician performs the test but does not do the interpretation. 18. A comparison of the mean ophthalmic artery Doppler parameter values between women with and those without PE showed statistically significant differences in several parameters: peak systolic velocity, end-diastolic velocity, mean velocity, peak meso-diastolic velocity (PMDV) and peak ratio. Two reviewers independently selected studies that evaluated the accuracy of ophthalmic artery Doppler to predict the development of PE and extracted data to construct 22 tables. Goffinet et al (1997) reviewed RCTs of umbilical artery Doppler velocimetry in average-risk pregnancies, and concluded that there is inadequate evidence to support its use in that clinical context: "There is no evidence that routine umbilical Doppler in a general or low-risk population leads to any improvement in the health of women or their infants. Matias DS, Costa RF, Matias BS, et al. Dilatation and curettage were performed for all women. The important factor here is that the ob-gyn did not admit the patient for delivery. Biometrical measurements and Doppler velocimetry of umbilical artery (UA) and middle cerebral artery (MCA) were performed in twins in third trimester. J Matern Fetal Neonatal Med. 11. The modelled performance of screening for PE was also estimated. The ob-gyn may perform the labor check, but as long as the patient does not deliver within 24 hours of admittance, you can include the reimbursement for the labor check in your codes for initial hospital care (99221-99223, Initial hospital care, per day, for the evaluation and management of a patient ). Maternal serum concentrations of PLGF, PAPPA, -hCG, and AFP were measured at 15 to 20 weeks of gestation. Discordant fetal growth is common in multiple gestation and usually is defined by a 15 to 25 % reduction in the estimated fetal weight of the smaller fetus when compared with the largest. Horio H, Murakami M, Chiba Y, et al. Question: What do fetal non-stress tests (NSTs) entail? 2021;57(1):75-83. Bulk pricing was not found for item. Goetzinger KR, Zhong Y, Cahill AG, et al. Additional sources are used and can be provided upon request. Smokers had significantly elevated PlGF-values (p < 0.001). This visit included recording of maternal demographic characteristics and medical history, US examination for fetal anatomy and growth, assessment of flow velocity waveforms from the maternal ophthalmic arteries, and measurement of MAP, UtA-PI, serum PlGF and serum sFlt-1. Suzuki S, Sawa R, Yoneyama Y, et al. Penning S, Garite TJ. Billing for Incomplete Antepartum Care 59425 When billing for four to six prenatal visits 59426 When billing for seven or more prenatal visits with or without an initial visit Billing for Multiple Deliveries For additional babies: 59409, 59514, 59612, or 59620 Modifier - 51 and 59 Oral and Maxillofacial Surgery PDF Updated: New! Mid-level Reimbursement These changes became statistically significant at 12 weeks for sFlt-1, PlGF and endoglin. Ultrasound Obstet Gynecol. In the selected literature, a combination of these markers was analyzed, and where relevant, the value of maternal characteristics was added. Acta Obstet Gynecol Scand. A variety of fetal and maternal blood vessels have been evaluated by Doppler wave form analysis to assess the risk of adverse perinatal outcome. This observation provides the rationale for fetal movement assessment by the mother ("kick counts") as a means of antepartum fetal surveillance. These investigators reviewed published systematic reviews to collate evidence on the ability of available tests to predict PE, to identify high-value avenues for future research and to minimize future research waste in this field. Only the delivery component of the maternity care is provided, and the postpartum care is performed by another physician or group of physicians. To read the full article, sign in and subscribe to the AMA CPT Assistant. 175: "Ultrasound in pregnancy" (2016) stated that "Umbilical artery Doppler velocimetry used in conjunction with standard fetal surveillance, such as non-stress tests, biophysical profiles, or both, is associated with improved outcomes in fetuses with fetal growth restriction. Serum YKL-40 and uterine artery Doppler -- a prospective cohort study, with focus on preeclampsia and small-for-gestational-age. 2010;(8):CD001450. Combination of PAPPA, fhCG, AFP, PlGF, sTNFR1, and maternal characteristics in prediction of early-onset preeclampsia. 2016;47(1):74-80. These researchers stated that further prospective studies are needed to validate these findings. Serum YKL-40 was associated with increasing maternal age (p < 0.0001), body mass index (BMI; p = 0.0002), primiparity (p = 0.0003), and hypertension (p = 0.015). The study population of 2,853 pregnancies contained 76 (2.7 %) that developed PE, including 18 (0.6 %) that delivered with PE at less than 37 weeks' gestation. Middle cerebral artery flow velocity waveforms in normal and small-for-gestational-age fetuses. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Radiology, 76818, 59025 (Q&A) (May 1998) - AMA CPT Assistant An example of data being processed may be a unique identifier stored in a cookie. Matias and associates (2014) tested the hypothesis that ophthalmic artery Doppler velocimetry is predictive of the development of PE. Diagnostic Radiology (Diagnostic Imaging), Genomic Sequencing and Molecular Multianalyte Assays, Multianalyte Assays With Algorithmic Analyses, Immunization Administration for Vaccines/Toxoids, Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration, Physical Medicine and Rehabilitation Evaluations, Education and Training For Patient Self-Management, Special Services, Procedures, and Reports (Miscellaneous Medicine), Case Management (Medical Team Conferences), Non-Face-to-Face Evaluation and Management, Delivery/Birthing Room Attendance and Resuscitation, Inpatient Neonatal and Paediatric Critical Care, CPT Code 21076 | Description & Clinical Information, CPT Code 27202 | Description & Clinical Information, CPT Code 95819 | Description & Clinical Information, (2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta, How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022), Ambulance Modifiers & Codes | How To Bill Ambulance Services (2022), HCPCS Code l3908 | Description & Billing Guidelines, How To Code Weight Loss ICD 10 (2022) List With Codes & Guidelines, (2022) How To Code Thrombocytopenia ICD 10 List With Codes & Guidelines, (2022) How To Code Syncope ICD 10 List With Codes & Guidelines. The ob-gyn checks her and sees that she's dilated 3 cm. Number 188, October 1997 (replaces no. The dates reported should be the range of time covered, E.g.If the patient had a total of 4-6 antepartum visits, then the physician should, report CPT code 59425 with the from and to dates for which the services, CPT 59425 and 59426 These codes must not be billed together by the same. Guidelines from the ACOG have concluded that uterine artery Doppler is not an effective method for identifying women at risk for eclampsia. The Modifier 25 is added to the E/M visit to indicate that there was a separately identifiable E/M on the same day of a procedure. Cpt Code 59025 - Description, Procedure & Billing Guidelines (2022) WebThis is also called a non-stress test (NST). Angiogenic factors in pregnancies of women with antiphospholipid syndrome and systemic lupus erythematosus. Evidence for the outcome of stillbirth was graded according to regimen subgroups -- with a moderate quality rating for stillbirth (fetal/umbilical vessels only) and a low quality rating for stillbirth (fetal/umbilical vessels + uterine artery vessels). PlGF and the crown-rump-length of the fetus showed a positive correlation (rS = 0.27, p < 0.001), whereas PlGF and the Pulsatility Index of the UtA were negatively correlated (rS = -0.235; p = 0.012). Some have argued that since Doppler appears to be applicable primarily in a population already defined as high risk, the clinical decisions as to when a fetus is distressed and requires emergent delivery will be made based on the BPP and heart rate monitoring, making the Doppler superfluous. Only one of the following options should be used, not a combination. Policies, Guidelines & Manuals. 99214 - Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and . Increasing evidence suggests that unexplained abnormal maternal serum analyte concentrations (e.g., pregnancy-associated plasma protein A), as well as abnormalities in cell-free DNA levels, in the first and second trimesters are also predictive of adverse pregnancy outcomes, including preeclampsia. Manage Settings 2008;(3):CD006593. ins.dataset.adChannel = cid; Systolic blood pressure (SBP) in the aorta (SBPAO) (p=0.002) was significantly associated with PE. Huddleston JF. These investigators searched the Cochrane Pregnancy and Childbirth Group Trials Register (February 28, 2015) and reference lists of retrieved studies. The medical billing code 59025 means fetal non-stress test. CPT Code 0734T CPT 0734T describes remote real-time, motion-capture-based neurorehabilitative, Read More CPT Codes For Remote Body And Limb Kinematic Measurement-Based TherapyContinue, CPT 44140 describes a procedure in which the colon is divided and the two ends are rejoined. 116, November 1992). Br J Obstet Gynaecol. Diabetes and pregnancy. RATE TABLE Modifiers are to be. Next, the patients back is raised, and the provider attaches two belts to the mothers abdomen. 2008;(1):CD000038. Myers ER, Blumrick R, Christian AL, et al. - Consider billing based on time. These factors may have contributed to the relatively small number of patients enrolled in this study. To separately bill this service with 59025 ( Fetal nonstress test ), your ob-gyn must document a clear indication for doing the NST (for instance, to measure fetal wellbeing).You must have a report with the findings and a recommendation for further testing or treatment. However, because of its limited predictive ability as a stand-alone test, UAD should be used in combination with other tests to guide clinical decisions. Kontopoulos EV, Quintero RA, Chmait RH, et al. Preeclampsia: Clinical features and diagnosis. 2014;44(4):411-418. | Terms and Conditions of Use. Last, the number of recruited patients was limited by the low incidence of PE and smaller number of births in 1 of the study centers, availability of the research team for recruitment and participation in other multi-center trials with overlapping inclusion criteria. Am J Obstet Gynecol. The measurements of the 4 indices were standardized to remove the effects of maternal characteristics and elements from the medical history. A patient is referred to another physician during her pregnancy. Tyrrell SN, Lilford RJ, Macdonald HN, et al. Guidelines for Perinatal Care. The most promising of these methods appears to be MCA PSV. Diagnosis and management of preeclampsia and eclampsia. Mean maternal serum apelin levels were both higher in women who subsequently developed early (8.63.6 versus 5.71.2) or late (9.62.5 versus 8.11.8) pre-eclampsia than those who remained normotensive. Receiver operating characteristic curve analysis showed that the 3rd trimester sFlt-1/PlGF ratio yielded the best detection rate (DR) for PE at a fixed false-positive rate (FPR) of 10 %, followed by the 2nd trimester sFlt-1/PlGF ratio, sFlt-1 level, and PlGF level. Kucur M, Tuten A, Oncul M, et al. Recent, normal antepartum fetal test results should not preclude the determination that intrapartum fetal monitoring is medically necessary. Patient reports fetal movements as an external monitor records fetal heart rate changes. The important factor here is that the ob-gyn did not admit the patient for delivery. 1985;92:605-610. Doppler assessment of the fetoplacental circulation in normal and growth-retarded fetuses. These researchers carried out a systematic search to identify relevant observational studies and RCTs evaluating the performance of abnormal third-trimester UAD for the prediction of adverse perinatal outcome in suspected SGA fetuses and SGA neonates. Society for maternal-fetal medicine (SMFM) clinical guideline #7: Nonimmune hydrops fetalis. Otherwise, count the fetal monitoring as routine. 2016;220(4):166-172. Nabhan AF, Abdelmoula YA. Cochrane DatabaseSyst Rev. 2006;195(2):478-483. Medline, Embase and the Cochrane Library including DARE (Database of Abstracts of Reviews of Effects) databases, from database inception to March 2017, and bibliographies of relevant articles were searched, without language restrictions, for systematic reviews and meta-analyses on the prediction of PE. 175: Ultrasound in pregnancy. Arterial and venous Doppler velocimetry in the severely growth-restricted fetus and associations with adverse perinatal outcome. 24. The most commonly interrogated vessels are the umbilical arteries. The provider performs a surgical resection of a section of the colon, then reconnects the cut ends to restore continuity. The authors concluded that existing evidence does not provide conclusive evidence that the use of routine umbilical artery Doppler ultrasound, or combination of umbilical and uterine artery Doppler ultrasound in low-risk or unselected populations benefits either mother or baby. Randomized and quasi-randomized controlled trials of Doppler ultrasound for the investigation of umbilical and fetal vessels waveforms in unselected pregnancies compared with no Doppler ultrasound were selected for analysis. The CPT book describes the 59025 CPT code as: "Fetal non-stress test.". The following CPT codes are for delivery services only: Vaginal delivery only (with or without episiotomy and/or, Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps), Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery, Based on CPT and ACOG guidelines, the following items are included in the delivery service codes and should not be reported separately, The admission history and physical examination, Management of uncomplicated labor, vaginal delivery (with or without, episiotomy, with or without forceps), or cesarean delivery, external and internal, fetal monitoring provided by the attending physician, Intravenous induction of labor via oxytocin (CPT code 96365-96367), Repair of first or second degree lacerations*, Insertion of cervical dilator (CPT 59200) to be included if performed on the same, If the physician or group physician provide the delivery and postpartum care only, there are CPT codes that encompass both of these services. Hypertension. Ophthalmic artery Doppler in combination with other biomarkers in the prediction of pre-eclampsia at 19-23 weeks' gestation. Kuc S, Wortelboer EJ, van Rijn BB, et al. Ott WJ, Mora G, Arias F, et al. } Apply for the Job in Medical Claims Processor at El Paso, TX. If the patient is simply hooked up to a monitor during her hospital stay and the ob-gyn occasionally looks at the strip, you should consider that part of her exam and not a separately billable test. The baseline model included maternal BMI, MAP, and clinical diagnosis at the time of assessment. Bahado-Singh RO, Oz AU, Hsu C, et al. Billing guidelines . There is no available evidence to assess the effect on substantive long-term outcomes such as childhood neurodevelopment and no data to assess maternal outcomes, particularly psychological effects. Maulik D, Mundy D, Heitmann E, Maulik D. Evidence-based approach to umbilical artery Doppler fetal surveillance in high-risk pregnancies: An update. American College of Obstetricians and Gynecologists. Mari GC, Deter RL, Carpenter R, et al. 2019;54(1):16-27. li.bullet { Aetna considers PIGF Preeclampsia Screen (a biochemical assay of placental growth factor) experimental and investigationalbecauseits effectiveness has not been established. PDF Global Maternity/Obstetric Package - Reliance Medical Management, LLC Ciobanu A, Wright A, Syngelaki A, et al. Tip: Make sure you include labor checks in the global ob codeDo you want to code fetal non-stress test (NST) using 59025? Only one of the following options should be used, not a combination. Find Out What Makes a True NST Know When You Should--and Should Not--Use Fetal NST Code 59025 - AAPC Pediatr Int. Chang YL, Chmait RH, Bornick PW, et al. Although meta-analyses show that uterine artery Doppler analysis can predict women at increased risk of preeclampsia, we and most experts do not recommend these studies for screening purposes. ins.className = 'adsbygoogle ezasloaded'; Acta Obstet Gynecol Scand. In: The Cochrane Library, Issue 1, 2003. Population differences affect the interpretation of fetal nonstress test results. The authors concluded that these findings emphasized the additive value of angiogenic biomarkers and the superior performance of a continuous scale of sFlt-1/PlGF ratio in the model. 93015. These researchers examined the comprehensiveness of search, sample size, tests and outcomes evaluated, data synthesis methods, predictive ability estimates, risk of bias related to the population studied, measurement of predictors and outcomes, study attrition and adjustment for confounding. Red flag: If the patient does deliver within 24 hours of admission, you should consider the labor check part of the global. Obstet Gynecol. Copayments; Fee-for-Service. 2020;55(5):575-585. A patient has the delivery performed . The role of laser surgery in dissecting the etiology of absent or reverse end-diastolic velocity in the umbilical artery of the donor twin in twin-twin transfusion syndrome. Teixeira JM, Duncan K, Letsky E, et al. Lim S, Li W, Kemper J, Nguyen A, et al. Br J Obstet Gynaecol. 2000;342(1):52-53. Waltham, MA: UpToDate;reviewed September 2014; November 2015. Retrospective studies of patients with 8 different types of primary or advanced solid tumors suggested that serum concentration of YKL-40 may be a new biomarker in cancer patients. Because the ob-gyn uses the fetal monitor to assess the mother and not fetal well-being, you should include this test as part of the labor check, which would be part of the global ob package (such as 59400).Best bet: -When a patient comes in and is hooked up to the monitor, and the ob-gyn determines the patient is in labor, we generally do not code this service,- Engstrom says. Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). 1998;32(1):39-47. Last Review10/26/2022. Epidemiology of antepartum fetal testing. All E/M services provided on the same day as a procedure are part of the procedure and Medicare only . 1997;52(7):444-455. The CPT book describes the 59025 CPT code as: Fetal non-stress test.. Maulik D. Doppler ultrasound of the umbilical artery for fetal surveillance. Value of third-trimester cerebroplacental ratio and uterine artery Doppler indices as predictors of stillbirth and perinatal loss. Although the slope of the sFlt-1/PlGF ratio was not used in their algorithms, this value may be useful for enhancing predictive accuracy in a future larger scale study. Uncomplicated inpatient visits following delivery. Modifier TC Fact Sheet - Novitas Solutions AHCCCS follows the guidelines as outlined in the Medicare Physicians Fee Schedule multiple procedure . Obstet Gynecol. Oepkes D. Invasive versus non-invasive testing in red-cell alloimmunized pregnancies. If contractions are not happening on their own, they may be induced using an intravenous dose of oxytocin. Coding example: 99214, 25. 200. ET), 2023 Annual Clinical & Scientific Meeting, Congressional Leadership Conference (CLC), Coding Question: Non-Stress Test during Labor Management, Alliance for Innovation on Maternal Health, Postpartum Contraceptive Access Initiative. The following medical necessity guidelines apply: Aetna considers uterine artery Doppler studies experimental and investigational for risk assessment or screening during pregnancies because of insufficient evidence. Furthermore, critical appraisal of the very few prospective studies is hampered by limitations in design or insufficient data given by the authors. 6th Ed. When you report 59025 (Fetal non-stress test) for NST procedures, make sure you-re reporting them in the appropriate situations. Allen RE, Morlando M, Thilaganathan B, et al. Example: -You might use the decreased fetal movement code (655.73) because the ob-gyn is monitoring the baby,- says Deanna Sherland, CPC, billing/surgery clerk at Midwest Women's Care in Belleville, Ill. The Society for Maternal-Fetal Medicine Publications Committees report on "Doppler assessment of the fetus with intrauterine growth restriction" (Berkley et al, 2012) provided evidence-based guidelines for utilization of Doppler studies for fetuses with IUGR. However, there is insufficient evidence in the peer-reviewed published medical literature and from evidence-based clinical guidelines for the use of uterine artery Doppler in assessment of either average-risk or high-risk pregnancies. Ozdemir and associates (2018) stated that pre-eclampsia (PE) carries an increased risk for maternal and/or fetal mortality or serious morbidity; and PE is associated with ischemia and increased oxidative stress in the placenta, which may lead to modification of plasma albumin to ischemia-modified albumin (IMA). Policy To know more about our billing and coding services you can contact us at 888-357-3226 / info@medicalbillersandcoders.com Reference: CPT CODE 99214 Posted by Medical Billers and Coders February 26, 2020 Medical Billing Services Routine and continuous fetal monitoring is considered to be included in the global. Provider Communications var alS = 2002 % 1000; Gonen R, Braithwaite N, Milligan JE. Combining these first trimester parameters did not improve the predictive efficiency of the models. list-style-type: lower-alpha; In a prospective, observational study, Sarno and associates (2021) examined the potential value of maternal ophthalmic artery Doppler at 35 to 37 weeks' gestation in combination with the established biomarkers of PE, including MAP) UtA-PI, serum PlGF and sFlt-1, in the prediction of subsequent development of PE. Most likely you-ll include this fetal monitor use as part of labor management or the global ob package (such as 59400, Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps] and postpartum care).Example: A patient at 38 weeks gestation presents to the ob-gyn saying her water has broken but she doesn't feel any contractions. ol.numberedList LI { background: #5e9732; Obstet Gynecol Surv. 1994;344:1664-1668. 2006;13 (8):33-34. 2003;189(5):1320-1324. Mason GC, Lilford RJ, Porter J, et al. Obstet Gynecol. 59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care. These researchers examined the association between the concentrations of maternal serum PLGF, PAPPA, free beta-hCG, and AFP and the development of PE early in the second trimester. Youll be able to [], Translate Coverage Agreements Into Global Ob Coding Advice, This method keeps your pay coming in when another MD claims the delivery. Plasma levels of PAPP-A and serum levels of alpha-fetoprotein, unconjugated estriol, human chorionic gonadotropin, and inhibin-A were measured, and sFlt-1/PlGF ratios were calculated. Recording of weight, blood pressures and fetal heart tones. Global maternity billing ends with release of care within 42 days after delivery. This test is rarely used in clinical practice at this time. Giles WB, Trudinger BJ, Baird PJ. . A total of 17 observational studies (including 7,552 fetuses either diagnosed with suspected SGA (n = 3,461) or later diagnosed as a SGA neonate (n = 4,091)) met the inclusion criteria; no RCTs met the inclusion criteria. American Hospital Association ("AHA"). REIMBURSEMENT POLICY STATEMENT - CareSource } Individual patient data were obtained for all 3 included studies. Per ACOG coding guidelines, reporting of third and fourth degree lacerations should be identified by appending modifier 22 to the global OB code (CPT codes 59400 and 59610) or delivery only code (CPT codes 59409, 59410, 59612 and 59614). As per ACOG and AMA guidelines, The antepartum care only codes 59425 or 59426 should be reported as described below, A single claim submission of CPT code 59425 or 59426 for the antepartum care only, excluding the confirmatory visit that may be reported and separately reimbursed when the antepartum record has not been initiated. Billing Fetal Non-Stress Test (NST) 59025. Ultrasound Obstet Gynecol. Billing Tips for Commercial Products Harvard Pilgrim offers guidance, information, and resources to help ensure you receive timely, accurate reimbursement for the services you provide to our members. Global OB Care Coding and Billing Guidelines - RT Welter Fren JF, Heazell AE, Tveit JV, et al. Know When You Should--and Should Not--Use Fetal NST Code 59025, Tip: Make sure you include labor checks in the global ob code, Give Your Hysterectomy Coding A Clean Bill of Health, Can you separately report a hysterectomy and a biopsy? Bi-variate pooled estimate for sensitivity was 65 % (95 % CI: 38 to 85 %) and for specificity it was 82 % (95 % CI: 72 to 88 %). Ultrasound Obstet Gynecol. Haley J, Tuffnell DJ, Johnson N. Randomised controlled trial of cardiotocography versus umbilical artery Doppler in the management of small for gestational age fetuses. UpToDate [online serial]. Mari G, Detti L, Oz U, et al. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Low PAPP-A and PlGF were significantly associated with SGA of less than 10th centile (p=0.007 and 0.004, respectively; DR 30 %, AUC 0.60 8, 95 % CI: 0.54 to 0.68). The procedure is noninvasive and typically takes 20 to 40 minutes to perform. 2018;31(21):2789-2806. Maternity- Global vs Non-global billing - Nebraska Total Care Fetal and umbilical Doppler ultrasound in high-risk pregnancies. Coding Question: Non-Stress Test during Labor Management Eur J Obstet Gynecol Reprod Biol. analyst jobs in G T S Nagar, Delhi - in.indeed.com Per the ACOG Coding Committee, the following is a brief description of CPT code 59025 (Fetal NST): Outcomes of interest included PE, early PE (defined as requiring delivery at less than 34 weeks' gestation), and gestational hypertension. 2008;32(4):243-246. Am J Obstet Gynecol. At least3 randomized clinical trials (RCTs) have evaluated the utility of umbilical artery Doppler velocimetry as a technique of antepartum fetal surveillance in pregnancies complicated by suspected intrauterine growth restriction. The ob-gyn admits her to the hospital and places the external transducer on the woman's abdomen, giving her medication to halt the labor. Ultrasound Obstet Gynecol. Townsend R, Khalil A, Premakumar Y, et al; IPPIC Network. Postpartum care after vaginal or cesarean section delivery (CPT code 59430). ACOG Practice Bulletin No.