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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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