Question:
How would you report the Z3A.- code in the setting of multiple gestations where different gestational ages are given to different fetuses? We had an OB ultrasound case today with twins and dates for fetus A being 8w3d (Z3A.08) and fetus B being 9w4d (Z3A.09). Would you code to the youngest date (Z3A.08), the oldest date (Z3A.09), or are we able to code both (Z3A.08, Z3A.09)?
Answer:
If you are billing 76801 and 76802, then each US code would get a separate Z3A code. If you are billing 76815, it is best to use both.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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