Fren JF, Heazell AE, Tveit JV, et al. The PSV ratio improved the prediction of preterm PE provided by maternal factors alone (from 56.1 % to 80.2 %), maternal factors, MAP plus UtA-PI (80.7 % to 87.9% ), maternal factors, MAP, UtA-PI plus PlGF (85.5 % to 90.3 %) and maternal factors, MAP, UtA-PI, PlGF plus sFlt-1 (84.9 % to 89.8 %), at FPR of 10 %. The other 2 ophthalmic artery indices of first PSV and PI were not significantly affected by PE. Duan and colleagues (2017) noted that identifying women at risk of PE by maternal serum screening is conducive to prompt gestational management and thereby improve both maternal and perinatal outcomes. The ob-gyn interprets the strip and writes (or dictates) a report that he must include in the patient's record. Washington, DC: ACOG; October 2004. Aetna considers ophthalmic artery Doppler experimental and investigational for prediction of pre-eclampsia becauseits effectiveness for this indication has not been established. The average salary for a Medical Billing Specialist is $39,188 per year in Koppel (United States). Prenatal stress and hemodynamics in pregnancy: A systematic review. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 1985;92:31-38. They stated that although these findings did not support the replacement of uterine artery Doppler analysis in multi-parametric predictive models for PE, they provided novel insights into first-trimester maternal systemic vascular changes that preceded the clinical development of this condition. CPT code 59025 can be conducted as many times as medically necessary. Washington, DC: ACOG; December 1994. American College of Obstetricians and Gynecologists (ACOG). Moreover, they stated that despite the statistical association with Ut-A Doppler first trimester SGA prediction is poor and not improved by the incorporation of fetal Doppler. Antepartum fetal surveillance: ACOG practice bulletin, number 229. Medicaid and Market Place Procedure Codes: Medicare, Medicaid and Market Place 59025 E1806: 94669 95782: 0449 32855: S0215 21089: 97605 0204: 11954 0823: A8004 . No mothers or neonates died. The other one is used for measuring the fetal heart rate. To learn more about using ProviderOne to file your claims, use our ProviderOne resources section. These investigators examined if incorporation of fetal umbilical artery (UA) and ductus venosus (DV) Doppler improves SGA prediction. The consent submitted will only be used for data processing originating from this website. 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). Modifier 59 should be used when the injection is a separate service from other treatments. Newnham JP, O'Dea MR, Reid KP, Diepeveen DA. Not only are Doppler velocimetry findings normal in growth-restricted fetuses with chromosomal or other structural etiologies but Doppler velocimetry has been shown to both reduce interventions and improve fetal outcome in pregnancies at risk for IUGR. 11. A total number of 80 pregnant women, 40 with normal pregnancy and 40 with pre-eclampsia, were included in the present study. lo.observe(document.getElementById(slotId + '-asloaded'), { attributes: true }); Only the delivery component of the maternity care is provided, and the postpartum care is performed by another physician or group of physicians. Furthermore, UpToDate reviews on "Preeclampsia: Clinical features and diagnosis" (August and Sibai, 2015), "Prediction of preeclampsia" (Norwitz), and "Fetal growth restriction: Evaluation and management " (Resnik, 2015) do not mention the use of YKL-40 as a biomarker. 2018;127:19-23. 1997;104(4):425-430. You would report this service with 59025 because the ob-gyn is using the NST to determine fetal status. or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 Non-stress test: A fifteen year clinical appraisal. 2001;184(6):1251-1255. Are these added codes we should use in [], 2 Babies, 2 Ob-Gyns Doesn't Have to Spell Trouble, Question: We-ve been having trouble with insurance reimbursement for the assistance of a second physician [], 7 Surefire Strategies for Pap Smear Coding Success, Copyright 2023. These researchers carried out a retrospective study including 161 patients during the 1st trimester screening between 11+0 and 13+6 weeks of gestation. Additionally, the AUC increased significantly from 0.82 to 0.88 when the PMDV was incorporated into the model containing clinical variables and UtA Doppler indices. Reference ranges for Doppler indices of umbilical and fetal middle cerebral arteries and cerebroplacental ratio: Systematic review. Doppler assessment of the uterine and uteroplacental circulation in the second trimester in pregnancies at high risk for pre-eclampsia and/or intrauterine growth retardation: Comparison and correlation between different Doppler parameters. You can use modifier 26 with CPT code 59025 if the fetal non-stress test is performed in a hospital because they already bill the technical component. The 59025 CPT code procedure begins with the provider asking the female patient to lie on a bed. National Coordinating Centre for Health Technology Assessment (NCCHTA). Hierarchical summary ROC curves were constructed using random-effects modeling. On the other hand, maternal serum YKL-40 levels were not elevated significantly, indicating that adipose-derived apelin was primarily involved in the vascular pathogenesis of early-onset pre-eclampsia than macrophage-derived YKL-40. Ultrasound Obstet Gynecol. For additional quantities, please contact [emailprotected] The appropriate diagnosis showing multiple gestation should also be used. This includes the use of industry standard, compliant codes on all claims submissions. UpToDate [online serial]. Maternal serum ADAM12 and PAPP-A levels were measured by an immunoassay, and mean Ut-A Doppler PIs were calculated. In: The Cochrane Library, Issue 1, 2003. Oxford, UK: Update Software. Serum PLGF level was lower in women who subsequently developed PE than in normotensive controls. if(ffid == 2){ All trials had adequate allocation concealment, but none had adequate blinding of participants, staff or outcome assessors. Hypertension. Next, the patient's back is raised, and the provider attaches two belts to the mother's abdomen. Please try reloading page. Total time of face-to-face encounter . Samples of maternal peripheral blood and umbilical venous blood were collected from 28 pre-eclamptic and 24 normotensive pregnant women and their newborns. Ceska Gynekol. Prenat Diagn. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. READER QUESTIONS :Here's What You Need to Report 59025, Stop Mixing Up Hysterectomy Codes by HighlightingWeight, Removal, Severing these ligaments clues you into whether ob-gyn removed the ovaries. Waltham, MA: UpToDate; reviewed October 2018. The total obstetric care package, commonly referred to as Global OB Care, includes the provision of antepartum care, delivery services and postpartum care. The second PSV was also increased in PE pregnancies; however, the effect did not depend on gestational age at delivery. Patient reports fetal movements as an external monitor records fetal heart rate changes. Uterine artery Doppler and biochemical markers (PAPP-A, PIGF, sFlt-1, P-selectin, NGAL) at 11 + 0 to 13 + 6 weeks in the prediction of late (> 34 weeks) pre-eclampsia. Stamford, CT: Appleton & Lange; 1999:201-227. 2nd ed. There was a high risk of bias in many of the included reviews, especially in relation to population representativeness and study attrition. Fetal Non-Stress Test (NST) 59025. 1997;9:6-13. 30. 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. In this situation, you should include labor checks in the hospital admission fee (99221-99223), Sherland says. CPT 59400 59510 59409 obstetrical policy Medicare. Insertion of cervical dilator on same date as delivery (CPT code 59200). Afterward, he tries an electronic larynx to stimulate the fetus with noise through the patient's abdomen. Notice how this procedure takes longer than a labor check and requires repeated stimulations to assess the specific fetal reaction or lack thereof.Heads up: If the ob-gyn performs this test in the hospital setting, you should add modifier 26 (Professional component) to 59025. However, the impact of prenatal stress on hemodynamics during pregnancy remains unclear. "The patient reports fetal movement as an external monitor records fetal heart rate changes. A patient has the delivery performed . 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. Helsinki, Finland: Duodecim Medical Publications Ltd.; April 3, 2000. Abnormal flow velocity waveforms have been correlated histopathologically with small-artery obliteration in placental tertiary villi and functionally with fetal hypoxia and acidosis, as well as with perinatal morbidity and mortality. 2009;(1):CD007113. In addition to standard meta-analysis, the 2 primary outcomes and 5 of the secondary outcomes were assessed using GRADE software and methodology. The ob-gyn interprets the strip and writes (or dictates) a report that he must include in the patient's record. (Subsequent management should then be predicated on the results of the CST or BPP, the gestational age, the degree of oligohydramnios (if assessed), and the maternal condition.). *As per ACOG (American College of Obstetricians and Gynecologists) coding guidelines, reporting of third and fourth degree lacerations should be identified by appending modifier -22 to the global OB code (codes 59400 and 59610) or delivery only code (codes 59409, 59410, 59612, and 59614). 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? The authors concluded that serum IMA in addition to the prevalence of SGA were significantly increased in the PE group; thus, cord blood IMA might be a predictive biomarker for SGA in PE pregnancies. 2006;195(2):478-483. Serum YKL-40 and apelin concentrations were measured. Angiogenic factors in pregnancies of women with antiphospholipid syndrome and systemic lupus erythematosus. window.ezoSTPixelAdd(slotId, 'stat_source_id', 44); Thacker SB, Stroup DF, Peterson HB. The role of Doppler velocimetry in the management of high risk pregnancies. To perform NST, the mother is asked to denote when the fetus moves. Prepared by the Duke Evidence-based Practice Center under Contract No. -We also don't code for a labor check when the patient goes to the hospital for observation and is then admitted for delivery.-On the other hand, you may find a way to be indirectly reimbursed for the labor check. Administration/induction of intravenous oxytocin (CPT code 96365-96367). This was a prospective cohort study that included pregnant women in the second trimester who had risk factors for PE. The CPT book describes the 59025 CPT code as: "Fetal non-stress test.". } Matias DS, Costa RF, Matias BS, et al. 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. UpToDate [online serial]. Treating providers are solely responsible for medical advice and treatment of members. Next, the patients back is raised, and the provider attaches two belts to the mothers abdomen. The authors concluded that the main drawback of this study was its sample size, which yielded only 9 cases of earlyonset PE. Ott WJ, Mora G, Arias F, et al. .strikeThrough { "Antepartum care only codes" (CPT codes: 59425 or 59426) should be billed when the practitioner or practitioners of the same group, will not be performing all 3 components of global OB care (4 or more antepartum visits, delivery and postpartum care). Utility of antepartum umbilical artery Doppler velocimetry in intrauterine growth restriction. The results of this procedure are written in a report and interpreted by the provider. Contractor Number . #closethis { There was a significant negative correlation between serum apelin and YKL-40 levels (r=-0.48, p=0.001). Individual patient data were obtained for all 3 included studies. } Comparison of umbilical-artery velocimetry and cardiotocography for surveillance of small-for-gestational-age fetuses. 86003. } 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. In a systematic review and meta-analysis, Kalafat and colleagues (2018) determined the accuracy of ophthalmic artery Doppler in pregnancy for the prediction of PE. Keep in mind: If the ob-gyn performed this service in the hospital using hospital equipment, you can bill only the professional component of the test (59025-26, Professional component). Author . Billing Cpt Code 59025 Cpt Code 59025 Modifiers . After adjusting for confounding variables, only PMDV remained statistically significant (p<0.001), with an area under the receiver-operating characteristics curve (AUC) of 0.73. Am J Obstet Gynecol. Included studies were those that assessed the association of abnormal UAD parameters and stillbirth. The authors concluded that delivery of a SGA infant is mostfrequent in nulliparous women of AA ethnicity. They had a higher incidence of Ut-A Doppler bilateral notching, higher mean Ut-A Doppler-PI z-scores (p < 0.001) and UA PI z-scores (p = 0.03), but no significant difference in DV-PI z-scores or in the incidence of abnormal qualitative UA and DV patterns. Proper diagnostic reporting to justify the medical necessity and documentation is important to ensure appropriate reimbursement. This section of the Manual contains billing guidelines for various provider types. These investigators examined serum levels of sFlt-1, PlGF and endoglin in women with primary and secondary anti-phospholipid Syndrome (APS) and systemic lupus erythematosus (SLE) longitudinally through pregnancy. var ins = document.createElement('ins'); The more accurate one of Doppler parameters was MCA, with sensitivity and specificity values of 85.7 % and 77.9 %, respectively, for the cut-off value delta MCA 25 %. Copenhagen, Denmark: Danish Centre for Evaluation and Health Technology Assessment (DACEHTA); 2002. Proper billing and submission guidelines must be followed. These researchers recorded the average of the 4 measurements, 2 from the right and 2 from the left eye, for the following 4 indices: first PSV, second PSV, PI, and ratio of second to first PSV. For example, your ob-gyn sees a patient at 31 weeks gestation who complains that her fetus has not been moving much in the past few weeks. 59000 59070 Antepartum and Fetal Invasive Services for. The rate of PE was 2.5 % (13/528); 4 (0.8 %) had severe PE. 3. ol.numberedList LI { Start . var slotId = 'div-gpt-ad-codingahead_com-box-3-0'; Fam Pract Manag. Clinical Guidelines, Standards & Quality of Care Permits, Licenses & Certification All Health Care Professionals & Patient Safety Health Topics A to Z Health Facilities Compare Health Care Providers Adult Care Facilities/Assisted Living Home Care & Hospice Hospitals & Clinics New York State Veterans Homes Nursing Homes School Based Health Centers CPT is a registered trademark of the American Medical Association. li.bullet { In a prospective, cohort study, Gybel-Brask et al (2014) examined if serum YKL-40 is increased in women developing pre-eclampsia or small-for-gestational age fetuses. However, the reliability of amniotic fluid bilirubin measurements has been questioned and these tests are of limited value in the second trimester. Contractor Name . In a prospective, first-trimester study, Allen and Aquilina (2018) examined the efficacy of biomarkers, arteriography and uterine artery Dopplers for predicting hypertensive disease of pregnancy, SGA and stillbirth. These factors may have contributed to the relatively small number of patients enrolled in this study. Establishing policy guidelines for providers billing "Incident To" to their supervising provider, Requiring APPs treating new patients or new conditions/diagnosis to be enumerated and bill Highmark as the rendering provider for services beginning January 1, 2021(APPs requiring enumeration will . Obstet Gynecol. 2001;29(3):146-151. 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. The review concluded that, "[u]ntil such time as these are available, routine uterine artery Doppler screening of women considered at low risk is not recommended.". Absent or reversed end-diastolic flow in the umbilical artery is associated with an increased risk of perinatal mortality. 93015. Studies were eligible for inclusion if prenatal stress was assessed with standardized measures, hemodynamics was measured with Doppler ultrasound, and methods were adequately described. Logistic regression analysis was used to model the prediction of PE using ADAM12 multiples of the median (MoM), PAPP-A MoM, and Ut-A Doppler PI MoM, either individually or in combination. Billing Fetal Non-Stress Test (NST) 59025. Two authors independently assessed the studies for inclusion, assessed risk of bias, as well ascarried out data extraction. Augmenix Announces Medicare Reimbursement Rates for the. Ozcan T, Thornburg L, Mingione M, Pressman E. Use of middle cerebral artery peak systolic velocity and intrauterine transfusion for management of twin-twin transfusion and single fetal intrauterine demise. J Coll Physicians Surg Pak. The methodological quality of the trials was generally unclear because of insufficient data included in the reports. Among 578 patients with complete outcome data, there were 54 cases of PE (9.3 %) and 13 cases of early PE (2.2 %). The acoustic stimulation or vibration is for waking the baby or to cause it to react to the stimulus. Levine and colleagues (2016) stated that maternal prenatal stress is associated with pre-term birth, IUGR, and developmental delay. Mari G, Deter RL. It is expressed and secreted by several types of solid tumors; however, the exact function of YKL-40 in cancer is unclear. The review concluded: "At this time, the evidence does not support routine screening with uterine artery Doppler in any particular group of patients. Detection rate (DR) was 72 % for a false-positive rate (FPR) of 15 %, an area under the curve (AUC) of 0.81 (95 % CI: 0.69 to 0.93). Fetal heart rate patterns: Monitoring, interpretation, and management. Together, these 3 biochemical markers are intended to contribute to accurate prediction of risk for early onset preeclampsia. Use modifier TC when the physician performs the test but does not do the interpretation. We're committed to supporting you in providing quality care and services to the members in our network. Several tests provided moderate or convincing prediction of early PE, but screening for late PE was poor. Randomised comparison of routine versus highly selective use of Doppler ultrasound in low risk pregnancies. In a prospective, case-control study, Madazli et al (2008) compared macrophage activation in normal and pre-eclamptic pregnancies by determining YKL-40 concentration and chitotriosidase activity in maternal and cord serum. The authors concluded that this review of reviews called into question the need for further aggregate meta-analysis in this area given the large number of published reviews subject to the common limitations of primary predictive studies. Clin Exp Obstet Gynecol. Madazli R, Kuseyrioglu B, Uzun H, et al. 53. For 7 or more visits: Use CPT 59426- Complete antepartum care is limited to one beneficiary pregnancy per provider. Nevalainen J, Korpimaki T, Kouru H, et al. Also, an UpToDate review on "Doppler ultrasound of the umbilical artery for fetal surveillance" (Maulik, 2017) states that "The principles of managing a high risk pregnancy utilizing UA Doppler velocimetry in conjunction with other fetal surveillance test findings are described below. Society for maternal-fetal medicine (SMFM) clinical guideline #7: Nonimmune hydrops fetalis. 2019;54(1):16-27. Lancet. Routine outpatient E/M services provided within 42 days following delivery. .newText { Billing and Coding Guidelines . Semin Perinatol. Billing guidelines . Mean maternal serum YKL-40 levels were lower in women who subsequently developed early (87.453.07 versus 103.404.29) or late (96.434.06 versus 99.873.63) pre-eclampsia than those who remained normotensive. 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. The ob-gyn checks her and sees that she's dilated 3 cm. The physiologic and medical rationale for intrapartum fetal monitoring. 2000;15:205-208. Cochrane Database Syst Rev. 27. 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. These researchers conducted a prospective cohort study of patients presenting for first trimester aneuploidy screening between 11 and 14 weeks' gestation. Evaluation of 7 serum biomarkers and uterine artery Doppler ultrasound for first-trimester prediction of preeclampsia: A systematic review. Studies where uterine vessels have been assessed together with fetal and umbilical vessels have been included. The modelled performance of screening for PE was also estimated. The global maternity allowance is a complete, one-time billing which includes all professional services for routine antepartum care, delivery services, and postpartum care. What happens: During the NST procedure, the ob-gyn evaluates the patient and assesses fetal well-being without using IV medications, says Denell Engstrom, CPC, coding manager and billing specialist at the Woman's Clinic in Boise, Idaho. The second PSV did not improve the prediction of either preterm or term PE provided by maternal factors alone. The clinical findings of other studies that the association of UAD with adverse outcome was independent of brain Doppler made a strong correlation between these parameters unlikely. For Vaginal Deliveries Bill vaginal deliveries for multiples using the guidelines outlined below: For the first infant (Baby A): Low levels of PP13, PlGF, and PAPP-A and elevated level of Inhibin A have been found to be significantly associated with the development of PE later in pregnancy. Clinical Information Cpt 26260 is a surgical, Read More CPT Code 26260 | Description & Clinical InformationContinue, CPT 78191 describes the re-transfusion of a patients tagged platelets, which have been studied for their lifespan after a blood sample is taken. The role of Doppler studies in predicting individual intrauterine fetal demise after laser therapy for twin-twin transfusion syndrome. window.ezoSTPixelAdd(slotId, 'adsensetype', 1); Grivell RM, Wong L, Bhatia V. Regimens of fetal surveillance for impaired fetal growth. These researchers also assessed the association between uterine artery pulsatility index, notching and serum YKL-40 levels. .headerBar { Endometrial malignancy was diagnosed in 24 of the patients (22.7 %). Furthermore, frequency of antepartum testing and certain aspects of obstetric intervention are reduced with use of Doppler." 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. Maternal arteriography was performed and serum was taken for the measurement of AFP, beta-hCG, PlGF, and PAPP-A levels. 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. Broadly speaking, the global OB package covers routine maternity services, dividing the pregnancy into three stages: antepartum (also known as prenatal) care, delivery services, and postpartum care. Sign up for Direct Deposit . Obstet Gynecol. Middle cerebral artery flow velocity waveforms in normal and small-for-gestational-age fetuses. Description This policy is to provide direction on global maternity care which includes pregnancy-related antepartum care, admission to Labor and Delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum. However, these investigators stated that further research is needed for re-evaluation and clinical validation of these promising findings of this meta-analysis. This visit included recording of maternal demographic characteristics and medical history, ultrasound (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. NST Procedure Code 59025 Components of a NST - V i biliVariability Short term variability (STV) . Abnormal fetal cerebral and umbilical Doppler measurements in fetuses with intrauterine growth restriction predicts the severity of perinatal morbidity. J Ultrasound Med. Since fetal nonstress test is included in code 76818, code 59025, Fetal nonstress test, should not be reported separately. The authors concluded that ophthalmic artery PSV ratio at 19 to 23 weeks' gestation, both on its own and in combination with other biomarkers is potentially useful for prediction of subsequent development of PE, especially preterm PE; however, larger studies are needed to validate these findings. 20. Seravalli V, Block-Abraham DM, Turan OM, et al. Inpatient Evaluation and Management (E/M) service provided within 24 hours of delivery. 1998;47(3-4):227-237. Middle cerebral artery Doppler velocimetry is considered medically necessary for pregnancy complicatedby either twin-twin transfusion syndrome or suspected fetal anemia in conditions such as isoimmunization and parvovirus B-19 infection. 2002;99(4):589-593. See alsoCPB 0106 - Fetal Echocardiography and Magnetocardiography and CPB 0127 - Home Uterine Activity Monitoring. Aetna considers the use of maternal serum ischemia-modified albumin as a biomarker for preeclampsia experimental and investigationalbecausethe effectivenessof this approach has not been established. Cochrane Database Syst Rev. Monitoring of systemic lupus erythematosus pregnancies: A systematic literature review. Br J Obstet Gynaecol. Question: What do fetal non-stress tests (NSTs) entail? 59025 : Fetal non-stress test: 76805: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation + 76810: each additional gestation (List separately in addition to code for primary . Special problems of multiple gestation. ins.style.height = container.attributes.ezah.value + 'px'; Clinical Information CPT 78191 is a nuclear medicine procedure used to diagnose and monitor diseases such as thrombocytopenia, aplastic, Read More CPT Code 78191 | Description & Clinical InformationContinue, CPT 72082 describes Xray imaging of the thoracic and lumbar spine to evaluate for scoliosis or other abnormalities.