59025 billing guidelines

1998;24(6):453-460. Semin Perinatol. Endometrial thickness, pulsatility and resistance indices (PI and RI) of the uterine, myometrial and endometrial vasculature, endometrial histopathology were measured by trans-vaginal Doppler sonography. Modifier 25 indicates that on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above and beyond the usual pre-and post-operative care associated with the procedure or service performed. Uterine and umbilical artery velocimetry in pre-eclampsia. Waltham, MA: UpToDate;reviewed September 2014; November 2015. Billing for Non-Global or Partial OB Services Int J Gynaecol Obstet. Only approximately half (n = 67 (53.2 %)) of the reviews evaluated the quality of the included studies. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). These changes became statistically significant at 12 weeks for sFlt-1, PlGF and endoglin. Use of umbilical artery Doppler should be individualized, and a plan of management based on the results should be put in place. 1997;9(2):101-106. Karsdorp VH, van Vugt JM, van Geijn HP, et al. American College of Obstetricians and Gynecologists (ACOG), Committee on Practice Bulletins -- Obstetrics. We and our partners use cookies to Store and/or access information on a device. Furthermore, they analyzed sFlt-1 und PlGF in maternal serum with a Roche Elecsys System. Clin Lab. YKL-40, a 38-kDA macrophage-derived glycoprotein, is a member of the "mammalian chitinase-like proteins". The PSV ratio also improved the prediction of PE with delivery at less than 3 weeks from assessment provided by maternal factors alone (from 31.0 % to 69.4% ), maternal factors plus MAP (74.1 % to 83.4 %), maternal factors, MAP plus UtA-PI (77.1 % to 85.0 %) and maternal factors, MAP plus PlGF (88.6 % to 90.7 %). 1995;14(2):101-108. A comparison of the mean ophthalmic artery Doppler parameter values between women with and those without PE showed statistically significant differences in several parameters: peak systolic velocity, end-diastolic velocity, mean velocity, peak meso-diastolic velocity (PMDV) and peak ratio. 21. The authors concluded that serum YKL-40 was not associated with pre-eclampsia. 2007;72(3):175-180. Billing Guidelines for Maternity Services To help to ensure that submitted claims are quickly and accurately processed, we'd like to remind you of the appropriate billing procedures for routine maternity services provided to our enrolled members. Each component is assigned2 points, resulting in a score ranging from 0 to 10, with scores from 8 to 10 considered normal, 6 considered borderline, and below 6 considered problematic. The authors stated that a drawback of this study was the different risk estimation results obtained when different combinations of markers were used in the same subject. 2000;342(1):52-53. The mother marks the strip when she feels movement throughout the 30-40 minutes of the test. Health Technol Assess. For new providers | Washington State Health Care Authority The review concluded that, "[u]ntil such time as these are available, routine uterine artery Doppler screening of women considered at low risk is not recommended.". 2021;57(1):75-83. Billing is as follows: Does not require "25" modifier with the insertion code (58300) Before admitting her to the hospital, the ob-gyn evaluates the situation by placing an external transducer to determine if the mother is experiencing contractions. A total of 87 citations matched the search criteria of which 3 studies, involving 1,119 pregnancies, were included in the analysis. Allen RE, Morlando M, Thilaganathan B, et al. However, the heterogeneity was particularly high in the high-risk group rendering it impossible to draw firm conclusions. 1. Broadly speaking, the global OB package covers routine maternity services, dividing the pregnancy into three stages: antepartum (also known as prenatal) care, delivery services, and postpartum care. Copenhagen, Denmark: Danish Centre for Evaluation and Health Technology Assessment (DACEHTA); 2002. When you report 59025 (Fetal non-stress test) for NST procedures, make sure you-re reporting them in the appropriate situations. In addition to standard meta-analysis, the 2 primary outcomes and 5 of the secondary outcomes were assessed using GRADE software and methodology. Friedman SA, Lindheimer MD. Individual patient data were obtained from the authors if available. A bi-variate random-effects model was used for the quantitative synthesis of data. Manage Settings However, in the United Kingdom, the National Institute for Health and Care Excellence suggests offering PlGF-based testing to help rule out (but not rule in) preeclampsia in women presenting with suspected preeclampsia up to 35 weeks of gestation [citing NICE, 2019]. Acta Obstet Gynecol Scand. cord serum concentration of YKL-40 (r = 0.61, r = 0.84, and r = 0.58, respectively). The other 2 ophthalmic artery indices of first PSV and PI were not significantly affected by PE. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. Therefore, you would not report a separate NST.Note: For a free PDF of an outpatient fetal monitoring template you can put to use in your practice, e-mail [email protected]. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. (If used in this setting, accepted guidelines indicate that decisions regarding timing of delivery should be made using a combination of information from the Doppler ultrasonography and other tests of fetal well being, along with careful monitoring of maternal status.). } A total of 347 women were recruited, of whom 40 developed PE. Indiana Medicaid: Providers: Code Sets Policy In a prospective, case-control study, Madazli et al (2008) compared macrophage activation in normal and pre-eclamptic pregnancies by determining YKL-40 concentration and chitotriosidase activity in maternal and cord serum. Erskine RL, Ritchie JW. container.appendChild(ins); Some have argued that since Doppler appears to be applicable primarily in a population already defined as high risk, the clinical decisions as to when a fetus is distressed and requires emergent delivery will be made based on the BPP and heart rate monitoring, making the Doppler superfluous. Are these added codes we should use in [], 2 Babies, 2 Ob-Gyns Doesn't Have to Spell Trouble, Question: We-ve been having trouble with insurance reimbursement for the assistance of a second physician [], 7 Surefire Strategies for Pap Smear Coding Success, Copyright 2023. Click here to see the total pay, recent salaries shared and more! Furthermore, an UpToDate review on Preeclampsia: Clinical features and diagnosis (August and Sibai, 2021) does not recommend screening of placental growth factor (PIGF) as a management tool. Outpatient Hospital Fee Schedule Frequently Asked Questions (FAQs) CPT Code 0733T CPT 0733T describes remote real-time, motion-capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional, including supply and technical support, per 30 days. Biomed Instrum Technol. Increasing evidence suggests that unexplained abnormal maternal serum analyte concentrations (e.g., pregnancy-associated plasma protein A), as well as abnormalities in cell-free DNA levels, in the first and second trimesters are also predictive of adverse pregnancy outcomes, including preeclampsia. The authors concluded that serum PLGF level was lower in women who subsequently developed severe PE early in the second trimester, suggesting its role in prediction of PE. 4. Areview of the evidenceforuterine artery Doppler studies prepared for the Society for Maternal Fetal Medicine (Scicioneand Hayes,2009)found that the predictive value of Doppler testing in a low-risk population of women appears to be low, and currently there are no available interventions to prevent adverse outcomes based on an abnormal result. This is also called a non-stress test (NST). Question: During a laparoscopic supracervical hysterectomy (LSH), the ob-gyn performed a cervical suspension before morcellating [], Question: What is the correct diagnosis code for a patient who is currently 18 weeks [], Question: I-m wondering about Pap smears and risk factors. UpToDate [online serial]. If the baby's heart rate still does not accelerate, the ob-gyn will determine this to be a -nonreactive- NST. Martinez JM, Bermudez C, Becerra C, et al. The authors concluded that this study may be the first to demonstrate maternal and fetal macrophage activation in pre-eclampsia. Observation is reported with revenue code 0762 and HCPCS code G0378. Nevalainen J, Korpimaki T, Kouru H, et al. 2017;63(5):921-925. American College of Obstetricians and Gynecologists (ACOG), Committee on Obstetric Practice. Doppler ultrasonography has not been shown to be of value as a screening test for detecting fetal compromise in the general obstetric population, and its use for this purpose cannot be recommended.". Cochrane DatabaseSyst Rev. The baseline model included maternal BMI, MAP, and clinical diagnosis at the time of assessment. Proper diagnostic reporting to justify the medical necessity and documentation is important to ensure appropriate reimbursement. The authors concluded that it is possible to predict the discordant twins birth using MCA Doppler velocimetry, but the EFW assessment remains the most accurate method. Heart rate reactivity is thought to be a good indicator of normal fetal autonomic function. Mari GC, Deter RL, Carpenter R, et al. The secondary objective was to examine the ability of combination models using Elecsys data, 2nd trimester UtA Doppler US measurements, and the serum fetoplacental protein levels used for Down's syndrome screening, to predict PE. Randomised comparison of routine versus highly selective use of Doppler ultrasound in low risk pregnancies. "CPT Copyright American Medical Association. Other Manuals. They stated that more carefully designed studies with larger sample sizes, repeated assessments across gestation, tighter control for confounding factors, and measures of pregnancy-specific stress are needed to clarify this relationship. CINDY HUGHES, CPC. Overall and apart from lack of blinding, the risk of bias for the included trials was considered to be low. Please try reloading page. First, due to the study design, these findings were applicable only to late SGA (greater than or equal to32weeks). Am J Obstet Gynecol. 93015. var cid = '2759846625'; test cpt code 59020 fetal non stress test cpt code 59025 external cephalic version cpt code 59412 insertion of cervical dilator cpt code 59200 more than 24 hr before delivery reimbursement information for diagnostic ultrasound Global OB Care Coding and Billing Guidelines, By: Sheila Haynes Coding and Compliance Manager. Click here to see the total pay, recent salaries shared and more! list-style-type: lower-roman; Goetzinger et al (2013) estimated the efficiency of first trimester Ut-A Doppler, ADAM12, PAPP-A, and maternal characteristics in the prediction of PE. It was developed with consideration of the latest coding methodologies from several sources, including but not limited to: Coding descriptions and instructions as identified in the latest rel ease of the American Medical The empirical results on DR at 10 % FPR were consistent with the modelled results. American College of Obstetricians and Gynecologists (ACOG). In this situation, you should include labor checks in the hospital admission fee (99221-99223), Sherland says. An MUE for a Healthcare Common Procedure Coding System (HCPCS) / Current Procedural Terminology (CPT) code is the maximum units of service that a provider would . The physician and/or other health care professional should report CPT code 59426 when 7 or more visits are provided, CPT code 59425 when 4-6 visits are provided, or an E/M visit when only providing 1-3 visits. The performance of ophthalmic artery Doppler was similar to that of UtA Doppler for predicting PE. Third-trimester uterine artery Doppler for prediction of adverse outcome in late small-for-gestational-age fetuses: Systematic review and meta-analysis. Postpartum care after vaginal or cesarean section delivery (CPT code 59430). /*margin-bottom: 43px;*/ ins.className = 'adsbygoogle ezasloaded'; Key concept: The most important factor is that the patient marks the fetal movements. A CST or full BPP is considered medically necessary following an abnormal NST or modified BPP. Youll be able to [], Translate Coverage Agreements Into Global Ob Coding Advice, This method keeps your pay coming in when another MD claims the delivery. 2. These researchers carried out a systematic search to identify relevant observational studies and RCTs evaluating the performance of abnormal third-trimester UAD for the prediction of adverse perinatal outcome in suspected SGA fetuses and SGA neonates. 2021;137(1):72-81. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Randomized and quasi-RCTs of Doppler ultrasound for the investigation of umbilical and fetal vessels waveforms in unselected pregnancies compared to no Doppler ultrasound were selected. These researchers examined the comprehensiveness of search, sample size, tests and outcomes evaluated, data synthesis methods, predictive ability estimates, risk of bias related to the population studied, measurement of predictors and outcomes, study attrition and adjustment for confounding. Author . Research salary, company info, career paths, and top skills for Medical Claims Processor PDF Reimbursement Rate For Cpt Code 59000 The authors concluded that endoglin, sFlt-1 and PlGF are potential early screening parameters for the development of PE in pregnant women with autoimmune diseases like APS and SLE. Diagnostic Radiology (Diagnostic Imaging), Genomic Sequencing and Molecular Multianalyte Assays, Multianalyte Assays With Algorithmic Analyses, Immunization Administration for Vaccines/Toxoids, Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration, Physical Medicine and Rehabilitation Evaluations, Education and Training For Patient Self-Management, Special Services, Procedures, and Reports (Miscellaneous Medicine), Case Management (Medical Team Conferences), Non-Face-to-Face Evaluation and Management, Delivery/Birthing Room Attendance and Resuscitation, Inpatient Neonatal and Paediatric Critical Care, CPT Code 21076 | Description & Clinical Information, CPT Code 27202 | Description & Clinical Information, CPT Code 95819 | Description & Clinical Information, (2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta, How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022), Ambulance Modifiers & Codes | How To Bill Ambulance Services (2022), HCPCS Code l3908 | Description & Billing Guidelines, How To Code Weight Loss ICD 10 (2022) List With Codes & Guidelines, (2022) How To Code Thrombocytopenia ICD 10 List With Codes & Guidelines, (2022) How To Code Syncope ICD 10 List With Codes & Guidelines. Naef RW 3rd, Morrison JC, Washburne JF, et al. Am J Obstet Gynecol. Practice Bulletin No. AHCCCS follows the guidelines as outlined in the Medicare Physicians Fee Schedule multiple procedure . Many textbooks and guidelines recommend serial amniocentesis to monitor these pregnancies. There was no between-study heterogeneity due to threshold effect. 2020;55(5):575-585. Non-stress test: A fifteen year clinical appraisal. Schiffer V, van Haren A, De Cubber L, et al. } global OB code except as noted in the Non-Global OB Billing and State Exceptions Sections. A review. Management of prolonged pregnancy. Billing Coding and Reimbursement Guide MCI Screen. The authors concluded that sFlt-1 and PlGF were influenced by various factors during the 1st trimester of pregnancy, which can be relevant for correct interpretation. The study population of 2,853 pregnancies contained 76 (2.7 %) that developed PE, including 18 (0.6 %) that delivered with PE at less than 37 weeks' gestation. The AUC and DR of delivery with PE, at 10 % FPR, after screening by maternal factors, ophthalmic artery second to first PSV ratio and combinations with MAP, UtA-PI, serum PlGF and serum sFlt-1 were determined. The authors stated that this study had several drawbacks. All women had ultrasound and blood sample collection at the nuchal translucency scan, a 20-week malformation scan and 25-week and 32-week fetal growth examinations. Coding example: 99214, 25. When you-re reporting 59025, you-d better be sure you-ve got supporting documentation--and the supporting diagnosis to justify this code. Increasing serum YKL-40 was related to maternal age, BMI and small-for-gestational age and may reflect an exaggerated inflammatory response. 27. The authorspresented encouraging results for the prediction of early PE, even in the first trimester of pregnancy. The non-stress test may be the primary means of fetal surveillance for many high risk pregnancies. Mari G, Deter RL. Obstet Gynecol. ", American College of Obstetricians and Gynecologists American College of Obstetricians and Gynecologists (ACOG), Committee on Practice Bulletins -- Obstetrics. Examples of such high-risk conditions include bleeding, chronic or pregnancy-induced hypertension, collagen vascular disease (including anti-phospholipid syndrome), fetal growth restriction, gestational diabetes, impaired renal function, maternal heart disease (New York Heart Association Class III or IV), oligohydramnios, significant isoimmunization, steroid-dependent or poorly controlled asthma (not an all-inclusive list). Roberts AB, Mitchell JM, Lake Y, et al. Summary ROC curves showed that, among suspected SGA fetuses, the best predictive accuracy of abnormal third-trimester UAD was for perinatal mortality and the worst was for composite adverse perinatal outcome, with areas under the summary ROC curves of 0.90 and 0.66, respectively. Services should be billed using Current Procedure Terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes and/or revenue codes. REIMBURSEMENT POLICY STATEMENT - CareSource During the first 20 minutes of monitoring, the ob-gyn uses the external transducers and detects no fetal heart rate accelerations. A total of 40 pregnant women subsequently developed mild PE, 21 pregnant women subsequently developed severe PE, and 61 cases of normotensive controls were included. Pattinson RC, Norman K, Odendaal HJ. lo.observe(document.getElementById(slotId + '-asloaded'), { attributes: true }); Example: A patient at 30 weeks presents to your ob-gyn in labor. Consistent with US Preventive Task Force suggestions, references were evaluated for quality based on the highest level of evidence, and recommendations were graded. Clinical Information CPT 78191 is a nuclear medicine procedure used to diagnose and monitor diseases such as thrombocytopenia, aplastic, Read More CPT Code 78191 | Description & Clinical InformationContinue, CPT 72082 describes Xray imaging of the thoracic and lumbar spine to evaluate for scoliosis or other abnormalities. These recommendations are based upon current evidence and should be used to guide patient management with individualization of care as dictated by the specific clinical circumstance (algorithm 1). var alS = 2002 % 1000; A recently published meta-analysis of 20 controlled trials of Doppler ultrasonography found, however, that there is "compelling evidence" that knowledge of the Doppler findings improved perinatal outcome in high-risk pregnancies, reducing antenatal admissions, inductions of labor, and cesarean sections for fetal distress, and reducing the odds of perinatal death by 38 %.". Billing for Incomplete Antepartum Care 59425 When billing for four to six prenatal visits 59426 When billing for seven or more prenatal visits with or without an initial visit Billing for Multiple Deliveries For additional babies: 59409, 59514, 59612, or 59620 Modifier - 51 and 59 Oral and Maxillofacial Surgery 53. These researchers stated that an understanding of the mechanism behind the increase in PMDV might be the key to using this parameter as a prognostic marker for pregnancy and post-partum recovery or as a screening test for the early detection of PE. What Codes Describe Nuchal Translucency Scans? The other one is used for measuring the fetal heart rate. Preterm infants are classified as SGA or non-SGA according to the Fenton preterm growth chart. PDF OB Coding - The Global Package & Beyond - AAPC It does not mention the use of umbilical artery Doppler velocimetry for multiple gestations pregnancies. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. 1998;77(5):527-531. Because the ob-gyn uses the fetal monitor to assess the mother and not fetal well-being, you should include this test as part of the labor check, which would be part of the global ob package (such as 59400).Best bet: -When a patient comes in and is hooked up to the monitor, and the ob-gyn determines the patient is in labor, we generally do not code this service,- Engstrom says. 2006;16(2):120-123. However, the impact of prenatal stress on hemodynamics during pregnancy remains unclear. 1994;170:625-634. provider for the same beneficiary, during the same pregnancy. Prediction of pre-eclampsia, low birthweight for gestation and prematurity by uterine artery blood flow velocity waveform analysis in low risk nulliparous women. Only one antepartum care code is allowed to be billed per pregnancy. Policies, Guidelines & Manuals. Official Description The CPT book defines CPT code 0440T as: Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve. 2003;189(5):1320-1324. If there are no accelerations after 20 minutes, the ob-gyn may attempt to induce a fetal response with acoustic stimulation through the mother's abdomen or a vibration. These high sensitivities and acceptable false-positive rates support the potential clinical applicability of the method to reduce the reliance on, and even replace, cordocentesis and amniocentesis with its attendant complications in Rh maternal alloimmunization pregnancies. Of 2,532 studies reviewed, 12 met the criteria for inclusion; 6 reported that prenatal stress significantly affected maternal or fetal hemodynamics; 6 found no significant association between maternal stress and circulation. 1997;24(2):79-81. Report CPT 59025 if a fetal non-stress test (NST) was performed in which a provider measures the fetal heart rate in response to its movements. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. global ob care coding and billing guidelines rt welter . They stated that future studies should be designed to address small changes in perinatal outcome, and should focus on potentially preventable deaths. The authors concluded that first trimester ADAM12, PAPP-A, and Ut-A Doppler characteristics are not sufficiently predictive of PE. Repeat Procedures modifiers 76 & 77 - Medical billing cpt modifiers and Two authors independently assessed the studies for inclusion, assessed risk of bias, as well ascarried out data extraction. Apply for the Job in Medical Claims Processor at El Paso, TX. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Billing and Coding Guidelines . Among 578 patients with complete outcome data, there were 54 cases of PE (9.3 %) and 13 cases of early PE (2.2 %). Don't Overlook ICD-9 Uterine artery Doppler velocimetry for the detection of adverse obstetric outcomes in patients with elevated mid-trimester beta-human chorionic gonadotrophin. The CST measures the response of the fetal heart rate to uterine contractions. Over-weight patients had significantly lower sFlt-1 values than patients with normal weight (p = 0.003). The QRGs include targeted claims and authorization instructions per provider type. Arterial and venous Doppler velocimetry in the severely growth-restricted fetus and associations with adverse perinatal outcome. YKL-40 concentration and chitotriosidase activity were determined by enzyme-linked immunoassay and fluorometry, respectively. J Obstet Gynaecol Res. 2004;104(1):56-64. The other one is used for measuring the fetal heart rate. Systolic blood pressure (SBP) in the aorta (SBPAO) (p=0.002) was significantly associated with PE. Sign up for Direct Deposit . On the other hand, maternal serum YKL-40 levels were not elevated significantly, indicating that adipose-derived apelin was primarily involved in the vascular pathogenesis of early-onset pre-eclampsia than macrophage-derived YKL-40. A nurse will listen to and record the baby's heartbeat while the baby is resting and while the baby . In: The Cochrane Library, Issue 1, 2003. MEDICARE E CODES cpt 99396 medicare. Management of surgical problems arising during pregnancy (e.g. Hemoglobinopathies (hemoglobin SS, SC, or S-thalassemia), Multiple gestation (with significant growth discrepancy), Post-term pregnancy (greater than 41 weeks gestation), Previous fetal demise (unexplained or recurrent risk), Amniotic fluid index (determination of the amniotic fluid volume), chitotriosidase activity in both maternal and cord serum and. The appropriate diagnosis showing multiple gestation should also be used. 12. The authors concluded that existing evidence does not provide conclusive evidence that the use of routine umbilical artery Doppler ultrasound, or combination of umbilical and uterine artery Doppler ultrasound in low-risk or unselected populations benefits either mother or baby. These researchersidentified eligible studies through Medline searches, and, for each included study,they assessed the risk of bias and extracted relevant data. In a Cochrane review, Alfirevic and colleagues (2010)evaluated the effects on obstetric practice and pregnancy outcome of routine fetal and umbilical Doppler ultrasound in unselected and low-risk pregnancies. American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice, American Academy of Pediatrics (AAP) Committee on Fetus and Newborn. Obstet Gynecol. Endometrial malignancy was diagnosed in 24 of the patients (22.7 %). Percent absent end-diastolic velocity in the umbilical artery waveform as a predictor of intrauterine fetal demise of the donor twin after selective laser photocoagulation of communicating vessels in twin-twin transfusion syndrome. 1997;9:6-13. Umbilical artery Doppler assessment is most useful in pregnancies complicated by fetal growth restriction and/or preeclampsia. When you report 59025 (Fetal non-stress test) for NST procedures, make sure you-re reporting them in the appropriate situations. Predictive sensitivity was low; receiver operating characteristic curve analysis yields areas under the curve of 0.592 (95 % confidence interval [CI]: 0.548 to 0.635) for the combination of Ut-A Doppler and UA PI z-scores. Serum IMA, complete blood count (CBC), liver function tests (LFT), renal function tests (RFT), albumin, and C-reactive protein (CRP) were measured in the mothers immediately before birth, and in the cord blood and serum of the newborns at 6 and 24 hours after birth. 2019;53(4):454-464. Billing for service without the global package: When the patient transfers care mid-pregnancy: . necessity for these services. 1998;105:422-429. Maternal characteristics along with blood samples for angiogenic marker analysis were obtained from participants. 3. After adjusting for confounding variables, only PMDV remained statistically significant (p<0.001), with an area under the receiver-operating characteristics curve (AUC) of 0.73. Waltham, MA: UpToDate; reviewed December 2019. CAPC Billing Series) with Andy Esch, MD, MBA and Phillip Rodgers, MD, FAAHPM Wed, August 28 at 12:30pm ET Virtual Office Hours: - Billing for Community Palliative Care with Anne Monroe, MHA Wed, June 19 at 2:00pm ET - Billing and RVUs in Hospital-Based Palliative Care with Julie Pipke, CPC Fri, June 21 at 12:30pm ET Resources: At least3 randomized clinical trials (RCTs) have evaluated the utility of umbilical artery Doppler velocimetry as a technique of antepartum fetal surveillance in pregnancies complicated by suspected intrauterine growth restriction.