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Posted By Mary Peabody on 06-18-2020, 13:43:08 in Ob-Gyn
Hello Melanie

What is the difference in CPT 59020 and 59025? If the patient is 41 weeks and is seen for contractions in L & D is CPT 59020 billable? Also if NST is performed to rule out labor, is this NST 59025 billable? Or are these services include in the OB package?
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Posted By Melanie Witt on 06-19-2020, 15:37:04
NST is done to determine the well-being of the fetus, not to track labor. That would be considered management of labor and inclusive of the care expected so not billable. The 59020 is like an NST, but the contractions are induced to see how the fetus reacts via movement and heart beat - with 59025 it is more passive in that you measure the fetus reaction to contractions via movement. It tests the fetus ability to withstand the forces of labor and should not be confused with external fetal monitoring of contractions (how often and whether they are present). Each code represents a 10-40 minute test at which fetal movement, fetal heart rate, maternal blood pressure are recorded as the uterus contacts.
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