Non Stress Test (Fetal) - CooperSurgical The AMA assumes no liability for data contained or not contained herein Reimbursement and coding information provided herein is gathered from third-party CPT Code Description Hospital Outpatient Ambulatory Surgical Center 59025: Fetal non-stress test $190: $20* 76818: Fetal biophysical profile; with non-stress testing $105: $57 **
Fetal Non-Stress Testing (Fetal NST) Coding Guide - GE Healthcare Payment Rate2 Global -TC* -26 59025 Fetal non-stress test $48 46 $19 97 $28 48 76818 Fetal biophysical profile; with non-stress testing $116 55 $68 10 $48 46 *Technical component (-TC) payment not payable to the clinician when NST is performed in a facility setting Hospital Outpatient: Current Procedural Terminology (CPT®) Coding,
CPT Code 59025 Guide - Billing, Modifiers NST Explained Comprehensive Guide to CPT Code 59025 Billing, Modifiers, and Key Guidelines CPT code 59025 refers to a non-stress test (NST) performed during pregnancy This test monitors fetal heart rate and uterine activity to assess fetal well-being, typically lasting 20–60 minutes It is commonly ordered for high-risk pregnancies, reduced fetal
Know When You Should--and Should Not--Use Fetal NST Code 59025 - AAPC When you report 59025 (Fetal non-stress test) for NST procedures, make sure you-re reporting them in the appropriate situations 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
Stress Test CPT Codes Explained for Providers - hcmsus. com Since exercise and pharmacologic stress tests use the same CPT codes, the key distinction in billing comes from who performs which part of the service Fetal Non-Stress Test (NST) CPT Code (59025) A fetal non-stress test (NST) is an obstetric test that monitors fetal heart rate in response to movement It is coded as:
Coding for NST and BPP - Society for Maternal-Fetal Medicine - SMFM CPT code 59025 is billed when fetal non-stress testing is performed alone CPT codes 76815 + 59025 are billed when modified biophysical profile (AFI + non-stress testing) is performed These codes are indication driven The appropriate code should be billed based on the clinical indication and test(s) performed In what circumstance is it
How To Use CPT Code 59025 - Updated 2025 - Coding Ahead Additionally, if the test is conducted in a hospital setting, modifier 26 (Professional component) should be added to CPT code 59025 to indicate that the hospital is billing for the technical component of the test 3 When To Use CPT 59025 CPT code 59025 is used when a healthcare provider conducts a fetal non-stress test to assess fetal well
FETAL NON-STRESS TEST WITH OR WITHOUT ULTRASOUND • A non-stress test can be done as part of a more detailed service (76818), known as a Biophysical In some cases, a clinician may request a nonstress test to evaluate the baby’s heart rate and an - ultrasound for amniotic fluid volume (typically billed with 76815 or 76816), or other fetal ultrasound CODING REIMBURSEMENT POLICY
FETAL NON-STRESS TEST - Kaiser Permanente postpartum care, and routine fetal non-stress tests Billing Coding Guidelines All claims must be billed according to Centers for Medicare Medicaid Services (CMS) guidelines Routine fetal non-stress tests, CPT code 59025 will be considered included to global obstetrical packages (CPT codes 59400, 59510, 59610, 59618) and to antepartum care
CPT Code 76818: What It Is, Modifiers, Reimbursement CPT code 76818 is used to describe a fetal biophysical profile with a non-stress test (NST) This procedure is a comprehensive assessment of fetal well-being during pregnancy It combines an ultrasound evaluation of the fetus with a non-stress test, which monitors the fetal heart rate in response to its movements
Highmark Reimbursement Policy Bulletin The contraction stress test requires the use of a pharmacologic agent (e g , oxytocin) and is generally intravenously administered These tests are used to determine fetal status and viability The Plan will allow reimbursement for fetal non-stress testing (59025) or fetal contraction stress testing
Important Notice Regarding At-Home Fetal Non-Stress Tests CPT code: • CPT Code 59025 - fetal non-stress test In the interest of expanding access to care and improving member outcomes, we are writing today to confirm that CPT Code 59025 is reimbursable with a place of service modifier (12) for at-home monitoring with remote monitoring solutions that are FDA cleared for on-label use for