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July 2004 · Vol. 16, No. 7

REIMBURSEMENT ADVISER

Document the reason for a nonstress test

MELANIE  WITT,  RN, CPC, MA

Q

I billed a nonstress test (NST) that was rejected. The note in the chart says the test was nonreactive. What should I do? Should we not have billed the NST at all, or can I just submit a diagnosis of no fetal movement?

A

A nonreactive fetal NST is the finding of the exam—not the reason it was conducted. To justify performing the NST, you need to consider why it was ordered in the first place. Since this exam is done to measure fetal well-being, there are several possibilities.

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