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Documentation for NST's for twins

SuperCoder Posted Tue 22nd of September, 2009 10:12:14 AM

What are documentation requirements for NSTs for twins? Are two separate reports required or are the words "reactive NSTs" sufficient? Thank you.

SuperCoder Answered Tue 10th of November, 2009 12:00:42 PM

A NST is a discrete test that takes 20-40 minutes to complete and requires a notation of fetal movement as part of the test. 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. To separately bill this service with 59025 (Fetal non-stress test), your ob-gyn must document a clear indication for doing the NST (for instance, to measure fetal well being)

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