Wiki Biophysical Profile/Gestational Diabetes

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mcwhirter

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Blue Cross is now denying claims for Biophysical Profiles/76819 using the diagnosis Gestational Diabetes/648.83. Has anyone dealt with this who may have a suggestion? Thank you!
 
Gestational period,insulin dependency, fetal factor, previous obstetric records/ and or the medical necessity documentation from the provider etc may make relevance for the validity of doing the BPP and avoid denial.
And for (eg) a V-code may be needed in addition to the primary code , if the patient is on insulin in pregnancy

Well, could you send the notes with more details?.
Not all gestational diabetes requires BPP any time /all the time.
 
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