cpt 59025, cpt code 59025, 59025 cpt code

CPT Code 59025 | Description, Procedure & Billing Guidelines (2022)

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.

1. What Is CPT Code 59025?

CPT 59025 covers a procedure in which the fetal heart rate of a fetus is measured in response to its movements. This is also called a non-stress test (NST).

2. Description

The CPT book describes the 59025 CPT code as: “Fetal non-stress test.”

3. Procedure

The 59025 CPT code procedure begins with the provider asking the female patient to lie on a bed. Next, the patient’s back is raised, and the provider attaches two belts to the mother’s abdomen.

One of the belts is used for measuring fetal contractions and movements. The other one is used for measuring the fetal heart rate.

Next, the provider uses an external monitor to evaluate the fetus. The monitor records the heart rate and reactivity of the heart rate to fetal heart movement.

Some providers give the female patient a buzzer and ask her to push it whenever she feels the fetus move. Sound can also be used to induce acceleration of the heart rate of the fetus.

The results of this procedure are written in a report and interpreted by the provider.

4. Billing Guidelines

The procedure described by CPT 59025 takes between 20 and 40 minutes.

The results of the fetal non-stress test, as described by CPT 59025, can be (non)-reassuring. The results of this test are reassuring if there are two or more accelerations of the fetal heart rate within 20 minutes.

The outcome of this procedure can also be nonreassuring (or nonreactive) if there were not enough heart rate accelerations within 40 minutes.

4.1 Does CPT Code 59025 Need A Modifier?

Yes, if performed in a hospital setting. 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.

5. Resources

CPT Professional 2022

https://pubmed.ncbi.nlm.nih.gov/6875489/

https://my.clevelandclinic.org/health/diagnostics/24253-nonstress-test

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