A921

PDF page 535 / K5

OBSTETRICS
 PRENATAL CARE
                                                                                                        Asst   Surg    Anae
       Medical management of early or ectopic pregnancy - follow-up visit
        Medical management of early or ectopic pregnancy - follow-up visit is for a visit that is a follow-
        up of A920 or A922, whether rendered by the same physician who rendered the A920 or A922
        service or by another physician.
   A921 Medical management of early or ectopic pregnancy - follow-up
          visit .....................................................................................          44.55
         Payment rules:
         1.Services described as consultations, assessments or counselling (and those procedures that
           are generally accepted components of this service) are not eligible for payment when
           rendered the same day to the same patient by the same physician as A921.
         2.A921 is limited to two per patient per pregnancy. Services in excess of this limit will be
           adjusted to another assessment fee.
   P001 Medical management of non-viable fetus or intra-uterine fetal
           demise between 14 and 20 weeks gestation .....................              479.55
       Payment rules:
       1.P001 is only eligible for payment if the length of gestation is confirmed by ultrasound.
         2.Services described as consultations, assessments or counselling (and those procedures that
           are generally accepted components of this service, including cervical ripening and oxytocin
           infusion if rendered) are not eligible for payment when rendered the same day to the same
           patient by the same physician as P001.
         3.Z774 is eligible for payment in addition to P001 if uterine curettage is required for postpartum
           hemorrhage due to retained products.
         [Commentary:
         P001 is only payable for the active medical management of the patient. It is not payable when
         the fetus delivers spontaneously prior to initiating intervention.]

Master, record 325. Record Layout PDF, page 1.

A92120260401999999990000044550000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.