30. Omtzigt AM, Reuwer PJ, Bruinse HW. A CST or full BPP is considered medically necessary following an abnormal NST or modified BPP. Provider Search Results in. You can use modifier 26 with CPT code 59025 if the fetal non-stress test is performed in a hospital because they already bill the technical component. Biometrical measurements and Doppler velocimetry of umbilical artery (UA) and middle cerebral artery (MCA) were performed in twins in third trimester. If the clinical condition that has prompted testing persists, repeat testing (either weekly or twice-weekly, depending on the test used and the presence of certain high-risk conditions) is considered medically necessary until delivery. If contractions are not happening on their own, they may be induced using an intravenous dose of oxytocin. It may also include the skull, neck and tailbone. Answer: A NST is a discrete test that takes 20-40 minutes to complete and requires a notation of fetal movement as part of the test. Evidence Report/Technology Assessment No. Copayments; Fee-for-Service. In multi-variate regression model, only uterine artery PI was identified as independent determinant of malignant endometrium. The NST is based on the premise that the heart rate of a fetus that is not acidotic or neurologically depressed will temporarily accelerate with fetal movement. Only 1 included trial assessed serious neonatal morbidity and found no evidence of group differences (RR 0.99, 95 % CI: 0.06 to 15.75; 1 study, 2,016 participants). YKL-40, a 38-kDA macrophage-derived glycoprotein, is a member of the "mammalian chitinase-like proteins". Furthermore, critical appraisal of the very few prospective studies is hampered by limitations in design or insufficient data given by the authors. Park HJ, Kim SH, Jung YW, et al. 14. Example: A patient at 30 weeks presents to your ob-gyn in labor. The CPT book describes the 59025 CPT code as: "Fetal non-stress test.". Repeat testing is also considered medically necessary for any significant deterioration in the maternal medical status or any acute diminution in fetal activity, regardless of the amount of time that has elapsed since the last test. Gybel-Brask D, Hogdall E, Johansen J, et al. Umbilical artery Doppler assessment is most useful in pregnancies complicated by fetal growth restriction and/or preeclampsia.