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nonreassuring heart tones

Tammy Posted Tue 11th of November, 2014 11:31:48 AM

Patient is pregnant comes in and when we us Doppler to check fetal heart tones we don't hear any. We request an ultrasound to confirm hear tones. What CPT code and diagnosis code would we use?

SuperCoder Answered Tue 11th of November, 2014 16:28:55 PM

The ultrasound code would depend on what kind of ultrasound was done and what trimester the patient is in. Diagnosis code should be 659.73(Depressed fetal heart tones fetal bradycardia/tachycardia fetal heart rate decelerations non-reassuring fetal heart rate or rhythm).

You should look at the following codes to determine which is appropriate code for the ultrasound.

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.

76815- Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses.

76816-Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus.

76817-Ultrasound, pregnant uterus, real time with image documentation, transvaginal.

Hope this helps.

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