• 1.  BPP and NST

    Posted 05-17-2022 08:59
    Does anyone have a system which allows the NST to be read in sign and one system and the BPP in another on the same day at the same visit?  We US on AS.  Our NST are in Fetal Link and Cerner.  We are reporting in 3 systems?  Any thoughts about how to have two reports that are separate? and then bill separately or collectively?



    Debra Guinn MD, FACOG

    Professor of Obstetrics and Gynecology

    Maternal Fetal Medicine Division Director

    Obstetrical Services Medical Director

    Dept. of Obstetrics, Gynecology and Women's Health
    University of Missouri School of Medicine

    500 N Keene Ave, Suite

    Suite 406

    Columbia, MO 65203

    Phone:  573-817-3306

    New email:


  • 2.  RE: BPP and NST

    Posted 05-20-2022 12:35
    Hi Debra,
    Most ultrasound reporting packages can be customized to report NSTs and BPPs. At my institution, the department chose to have the NST reported directly in the hospital-wide EMR because the generalists do not have access to use the ultrasound reporting package when they read the NST. This does present some billing challenges to avoid unbundling of 76818.

    Fadi BSAT, MD, FAIUM
    Past Chair, SMFM Coding Committee
    Chair, SMFM Practice Management Division