Fetal Non-Stress Test (NST) 59025

A fetal non-stress test (NST) 59025 is a noninvasive test performed on pregnant women in order to monitor the fetal heart rate. A nurse will listen to and record the baby’s heartbeat while the baby is resting and while the baby is moving.  Not all pregnant women require an NST. It usually takes 20 to 40 minutes to complete an NST.

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Depression Screening

G0444 – Annual depression screening, 15 minutes

Medicare covers one depression screening per year.

Not covered if billed with G0402 “Welcome to Medicare Visit” or with  G0438 “first Annual Wellness Visit” (as per NCCI)

Covered with if billed with G0439 “subsequent Annual Wellness Visit (G0439) ” and E/M

The annual depression screening will typically include a questionnaire completed by the patient, with the help of your primary care provider in some cases If the screening finds symptoms of depression, the primary care provider will provider in some cases.

 

Chronic Care Management Services

CCM services are typically provided outside of face-to-face patient visits. The CCM service period is one calendar month. When the 20 minute threshold to bill is met, the practitioner may choose that date as the date of service, and need not hold the claim until the end of the month.

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Colorectal Cancer Screening and Diagnostic

Colorectal Cancer (Colon cancer)

Medicare covers one screening FOBT per year for beneficiaries ages 50 or older. The test must be ordered by the patient’s treating physician. Either a stool guaiac test or a FIT will be covered, but not both. Also, at least 11 months must have passed since the month of the patient’s last test.

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