HI Stacy:
short answer, either
a)
59897 - unlisted fetal invasive procedure, including ultrasound guidance (Claim should be dropped to paper with supporting documentation). The supplies used (KCL/MTX, needles, drapes, gloves, cleaning solution etc) are included in all the procedure codes and can NOT be billed separately or in addition.
b) MFM is providing the intra-amniotic injection, hospital admission and delivery/termination use 59850-59852.
search the tips or Q&A we have answered this more extensively (search KCL I think)
thanks
v
------------------------------
Vanita Jain, MD
Chair, SMFM Coding Committee
------------------------------
Original Message:
Sent: 03-20-2020 10:12
From: Stacey Ehrenberg
Subject: cesarean scar ectopic
What codes do you use to bill an ultrasound guided intra-gestational sac injection of methotrexate for a cesarean scar ectopic pregnancy? The procedure was done in the OR with a spinal but patient went home same day.
Thank you!
------------------------------
Stacey Ehrenberg
------------------------------