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Official Description

Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 99500 refers to a home visit conducted by a physician or other qualified healthcare provider specifically for the purpose of prenatal monitoring and assessment. This procedure encompasses several critical components essential for the health and well-being of both the mother and the developing fetus. During this home visit, the healthcare provider will monitor the fetal heart rate, which is a vital indicator of the fetus's health and can help identify any potential complications early on. Additionally, the assessment includes uterine monitoring, which evaluates the condition of the uterus and can provide insights into the pregnancy's progress. Another important aspect of this visit is the non-stress test, a procedure that measures the fetal heart rate in response to movements, ensuring that the fetus is receiving adequate oxygen and is not in distress. Furthermore, the visit may involve monitoring for gestational diabetes, which is crucial for managing the mother's health and preventing complications during pregnancy. This comprehensive approach allows for timely interventions and supports the overall health of both the mother and the fetus.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The home visit for prenatal monitoring and assessment, as described by CPT® Code 99500, is indicated for various circumstances related to the health and monitoring of the pregnancy. The following conditions may warrant this procedure:

  • Fetal Heart Rate Monitoring This is essential for assessing the well-being of the fetus and identifying any potential distress or complications.
  • Uterine Condition Assessment Monitoring the uterus helps evaluate its health and the progress of the pregnancy.
  • Non-Stress Test This test is performed to ensure that the fetus is receiving adequate oxygen and is not experiencing any distress during movements.
  • Gestational Diabetes Monitoring This is crucial for managing the mother's health and preventing complications associated with gestational diabetes.

2. Procedure

The procedure associated with CPT® Code 99500 involves several key steps that ensure comprehensive prenatal monitoring and assessment. Each step is critical for evaluating the health of both the mother and the fetus.

  • Step 1: Home Visit Initiation The healthcare provider schedules a home visit to conduct the necessary prenatal monitoring. This visit is typically arranged based on the patient's specific needs and the healthcare provider's assessment of the pregnancy's status.
  • Step 2: Fetal Heart Rate Monitoring During the visit, the provider will utilize appropriate equipment to monitor the fetal heart rate. This involves placing sensors on the mother's abdomen to detect the heart rate and assess its variability, which is crucial for determining fetal well-being.
  • Step 3: Uterine Monitoring The healthcare provider will also assess the condition of the uterus. This may involve palpation to evaluate uterine tone and contractions, ensuring that the uterus is functioning normally during the pregnancy.
  • Step 4: Non-Stress Test Administration The provider conducts a non-stress test, which involves monitoring the fetal heart rate in response to fetal movements. This test helps to confirm that the fetus is healthy and receiving adequate oxygen.
  • Step 5: Gestational Diabetes Monitoring If indicated, the provider may draw blood to check for gestational diabetes. This step is essential for identifying any glucose metabolism issues that could affect the pregnancy and the health of the mother and fetus.

3. Post-Procedure

After the home visit and the completion of the prenatal monitoring and assessment, the healthcare provider will typically discuss the findings with the patient. This may include reviewing the results of the fetal heart rate monitoring, uterine assessment, non-stress test, and any blood tests conducted for gestational diabetes. Depending on the outcomes, the provider may recommend further monitoring, additional tests, or adjustments to the patient's care plan. The patient may also receive guidance on any necessary lifestyle modifications or follow-up appointments to ensure continued health throughout the pregnancy. Overall, the post-procedure care is focused on maintaining the well-being of both the mother and the fetus, ensuring that any potential issues are addressed promptly.

Short Descr HOME VISIT PRENATAL
Medium Descr HOME VISIT PRENATAL MONITORING & ASSESSMENT
Long Descr Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring
Status Code Not Valid for Medicare Purposes
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) M5D - Specialist - other
MUE 0
CCS Clinical Classification 236 - Home Health Services
Date
Action
Notes
2011-01-01 Changed Short description changed.
2002-01-01 Added First appearance in code book in 2002.
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