Maternal-Fetal Medicine EHR and AI Medical Billing Software

Maternal-fetal specialists care for high-risk pregnancies alongside the obstetrician. XEHR keeps scans, testing and shared plans together and bills each correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Twin pregnancy at 20 weeks; detailed anatomy scan.

O30.002 Twin pregnancy, second trimester

ReviewSign note

Diagnosis carried to the claimO30.002

THE HARD PARTS

What makes maternal-fetal medicine billing hard

Co-management with the obstetrician

MFM bills its consults and studies while the referring obstetrician usually keeps the global package. The split must be clear on both sides.

Studies per fetus

Detailed ultrasound and fetal testing are billed per study and, for some studies, per fetus in a multiple pregnancy.

Pregnancy codes with trimester and weeks

Every pregnancy complication code carries the trimester, and weeks of gestation are coded separately.

WHERE THE WORK HAPPENS

How maternal-fetal medicine care is delivered and billed

Maternal-fetal specialists work in hospital-based and outpatient perinatal centers, providing consults, detailed ultrasound and fetal testing, and sometimes managing delivery. Services are billed on the professional claim; the referring obstetrician usually keeps the global obstetric package.

What payers check on maternal-fetal medicine claims

Pregnancy complication codes include the trimester.
Weeks of gestation are coded separately.
Some ultrasound studies are billed per fetus.
Consulting MFM services are billed separately from the obstetrician’s global package.
Fetal codes need the seventh character identifying the fetus where required.

Common maternal-fetal medicine diagnoses ICD-10-CM

O09.523	Supervision of elderly multigravida, third trimester
O24.414	Gestational diabetes mellitus in pregnancy, insulin controlled
O13.3	Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
O36.5930	Maternal care for known or suspected poor fetal growth, third trimester, not applicable or unspecified
O30.003	Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
Z3A.20	20 weeks gestation of pregnancy

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A maternal-fetal medicine visit, start to payment

1
Receive the referral

The obstetrician’s question and pregnancy record are attached.
2
Scan and test

Ultrasound and fetal testing are recorded per fetus.
3
Advise

The plan is documented and shared.
4
Bill

Consults and studies go out with trimester and weeks.

How XEHR helps

From the maternal-fetal medicine visit to the payment

Shared plansPlans are shared with the referring obstetrician.
Scans per fetusStudies are recorded per fetus.
Weeks visibleGestational age is shown at every visit.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for maternal-fetal medicine

AI medical billing for maternal-fetal medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every maternal-fetal medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Pregnancy complication codes include the trimester.
Weeks of gestation are coded separately.
Some ultrasound studies are billed per fetus.
Consulting MFM services are billed separately from the obstetrician’s global package.

Around the visit

Agents run on their own

Coverage checked before each maternal-fetal medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a maternal-fetal medicine EHR

Ask every vendor, including us. The answers show whether a system was built for maternal-fetal medicine work or only adapted to it.

Ask us on a demo

Are studies recorded and billed per fetus?
Are trimester and weeks captured on every code?
Are plans shared with the referring obstetrician?
Is the consult billed apart from the global package?
Can fetal echoes be ordered and tracked?

QUESTIONS

Maternal-Fetal Medicine practices ask us

Does XEHR support maternal-fetal medicine?

Yes. Consults, ultrasound and fetal testing are documented and billed.

Can XEHR bill multiple gestation scans?

Yes. Studies are recorded and billed per fetus.

Can obstetricians see MFM plans?

Yes. Plans are shared from the same record.

Does XEHR code trimester correctly?

Yes. Weeks and trimester come from the pregnancy record.

Does XEHR support perinatal ultrasound units?

Yes. Studies are documented and billed.

Can genetic counselling be documented?

Yes. Counselling is recorded.

Can delivery planning be shared?

Yes. Plans are shared from the record.

How much does XEHR cost for a maternal-fetal medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a maternal-fetal medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for maternal-fetal medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing