Conditions for which antepartum evaluation is considered for payment:
Decrease in fetal movements
Maternal hypertensive states
Diabetes Mellitus (insulin dependent)
Oligohydramnios or polyhydramnios
Intrauterine fetal growth retardation
Past term pregnancy
Multiple pregnancy with fetal growth disparity
Fetal growth restriction
Alloinmunization
Previous fetal demise
Decreased fetal activity
Preterm labor witk rupture of menbranes
Antiphospholipid syndrome
Sickle cel disease
• In certain high-risk conditions, testing can start as early as 28 weeks. The implications of a non-reassuring test are unclear before 28 weeks.
• When the condition causing the test persists, a reassuring («reactive») test may be repeated periodically until delivery. An interval of 7 days between tests is considered adequate in the presence of reassuring («reactive») results. This will give 8 false negatives/1000 tests. With certain maternal complications, a shorter interval may be considered.
