tci E/M Coding Alert - 2014 Issue 12

You Be the Coder: Admission Status Helps You Determine E/M

Question: A patient at 38 weeks gestation presented to her ob-gyn office saying her water broke but she doesn’t feel any contractions. Our ob-gyn checked her and saw she was dilated 3 cm. The ob-gyn evaluated the situation by placing an external transducer while in the office to determine if the mother was experiencing contractions and the results prompted the ob-gyn to admit her to the hospital. Should I code 59025 and 99211? Minnesota Subscriber  Answer: You should not code 59025 (Fetal non-stress test), a 30-40 minute test that measures fetal well-being via fetal movement with contractions. The...

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