Ob-Gyn Coding Alert
Reader Questions:
No Need for Ob-Gyn's Presence on TC/26 Code
Published on Tue Feb 07, 2006
Question: We-re charging for a fetal non-stress test (NST). Is it OK if the ob-gyn was not present on the day the patient underwent the NST?
Minnesota Subscriber
Answer: Yes. The code for the NST (59025, Fetal non-stress test) has both a technical (modifier TC, Technical component) and professional component (modifier 26, Professional component) and no requirement for direct physician supervision.
Important: If your ob-gyn wasn't present for the NST performed at the hospital and documented the interpretation, you should report 59025-26. The hospital would then report 59025-TC. If the patient underwent the NST in the office, you should report 59025 alone.
Other Articles in this issue of
Ob-Gyn Coding Alert
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Hint: Look to modifier 25, not 59, to bypass E/M and injection edits When your [...] - Reader Questions:
No Need for Ob-Gyn's Presence on TC/26 Code
Question: We-re charging for a fetal non-stress test (NST). Is it OK if the ob-gyn [...] - Reader Questions:
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Paratubal Cyst Not Equal to an Ovary
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