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PATIENT HISTORY FORM FOR NON-INVASIVE PRENATAL TESTING (NIPT)

PATIENT HISTORY FORM FOR NON-INVASIVE PRENATAL TESTING (NIPT) 2025

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The document is a Patient History Form for Non-Invasive Prenatal Testing (NIPT) provided by Mercy Diagnostics. It collects essential patient information, including demographics, medical history, and indications for testing. The NIPT aims to screen for chromosomal abnormalities such as Trisomy 21, 18, and 13, as well as other genetic conditions. It outlines the testing process, informed consent details, potential results interpretations (high risk, low risk, no call), limitations of the test, and emphasizes that it is a screening tool rather than a diagnostic one. The document also includes sections for patient consent and provider acknowledgment.

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How much does a NIPT test cost?

The cost of NIPT in India depends on the healthcare provider, the city, and the conditions being tested. On average, it costs between ₹15,000 and ₹25,000.

How do you qualify for NIPT?

The American College of Obstetricians and Gynecologists (ACOG) used to only recommend NIPT if you had a high-risk pregnancy. However, its now recommended that providers offer NIPT to all pregnant women, regardless of risk. Based on the results of the NIPT test, your obstetrician may recommend diagnostic tests.

How much does the NIPT test cost?

The Harmony NIPT test cost of $450 covers the Harmony Prenatal Test (T21, T18, T13) and optional add-on tests (Fetal Sex, Monosomy X, Sex Chromosome Aneuploidy Panel) when marked by the referring doctor.

Will insurance cover a NIPT test?

NIPT procedure codes 81420 or 81507 are limited to once per pregnancy. Additional tests will not be authorized.

Is NIPT non invasive?

NIPT is considered noninvasive because it requires drawing blood only from the pregnant woman and does not pose any risk to the fetus.

How much is a NIPT test out of pocket?

But if your insurance company doesnt cover NIPT, many laboratories have flexible programs that can help with the cost of NIPT, which can range from $800 to $3,000. If you have any questions about what youd pay for an NIPT test, ask your doctors office to direct you to the NIPT billing team.

What are the requirements for NIPT test?

NIPT can tell you the chance for having a baby with trisomy 21 (Down syndrome), trisomy 18 (Edwards syndrome) and other chromosome differences. You can have NIPT from the time you are 9 or 10 weeks pregnant until the end of the pregnancy.