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AMA CPT® Assistant - 1996 Issue 10 (October)
Maternity Care and Delivery, High Risk Pregnancy (Q&A) (October 1996)
October 1996 page 11-end
Coding Consultation
Maternity Care and Delivery, High Risk Pregnancy (Q&A)
Question
If a patient is considered high risk during her pregnancy, but she has an uncomplicated delivery with no special monitoring or other activities, should the delivery still be considered high risk, and should I still use the -22 modifier?
AMA Comment
Do not use the -22 modifier if no unusual procedural services are provided.
With regard to "high-risk" pregnancy, there are no codes to indicate the level of "risk." CPT designates procedure codes; therefore, only services provided, not potential risks, are coded...
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