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The Mysterious World of OB Ultrasound Coding

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The Mysterious World of OB Ultrasound Coding

CPT Code 76811 Ultrasound, pregna nt uterus, real time with image documentation, fetal an d maternal evaluation plus

http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/16f6616f-8c79-4d59-9b97-6d29ecbaee89/2f64d6c1-d307-46b9-b8b7-4cf75bf534e2.pdf

Date added: May 29, 2012 - Views: 68

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Coding for multiple ultrasounds - Hill & Associates

76811 76812 Ultrasound, pregnant uterus, real tim e w ith im age docum entation, ... The CPT code descriptor for 76816 includes exam ples of possible uses

http://codingandcompliance.com/news/NewsArticleFiles/MultipleUltrasounds.pdf

Date added: November 27, 2014 - Views: 1

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Coding In Ob Sonography - Meetingpro.info - The PLAZA Group

76811 Ultrasound, pregnant uterus, ... – Code includes ultrasound guidance so ... • ACOG “CPT Coding in Obstetrics &

http://www.meetingpro.info/plaza/registrants/GoHo09/Lectures_PDF/Copel%20Coding%20Update.pdf

Date added: November 2, 2011 - Views: 27

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Ultrasound Obstetrical Care Services - Agency for Health Care ...

CPT code 76811 is limited to one procedure per pregnancy. 25. ... the CPT. Modifier 22 requires claim review by a Medicaid medical consultant for appropriate

http://www.fdhc.state.fl.us/Medicaid/e-library/docs/ultrasound_OBG_071410.pdf

Date added: November 30, 2012 - Views: 11

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for Maternal Fetal Medicine, Coding Committee White Paper on ...

Society for Maternal Fetal Medicine, Coding Committee White Paper on Ultrasound Code 76811 (Revised December 27, 2012) The CPT 76811 (Ultrasound ...

https://old.smfm.org/attachedfiles/UltrasoundCode76811Revised-Dec272012.pdf

Date added: May 31, 2014 - Views: 1

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Ultrasound Policy Overview - MultiPlan, Inc., Welcomes you to ...

What is the Amerigroup policy on prenatal ultrasounds? Members are covered for one routine prenatal ultrasound per pregnancy — CPT code ... CPT codes 76811 ...

http://www.multiplan.com/phcsmedicaid/pdf/TTC-AGP7_PU_Ultrasound.pdf

Date added: March 10, 2013 - Views: 5

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Obstetrical Ultrasound Coding and the Radiology Report

Obstetrical Ultrasound Coding and the Radiology Report Obstetrical (OB) ultrasound studies must be well documented in order to support the CPT® code(s) chosen.

http://www.acr.org/~/media/ACR/Documents/PDF/Economics/Coding%20Source/2009%20Jul%20Aug/Obstetrical%20Ultrasound%20Coding%20and%20the%20Radiology%20Report.pdf

Date added: December 19, 2013 - Views: 2

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Changes to Reimbursement Policies - Community Plan Homepage

diagnosis code found on the Routine OB Ultrasound allowed diagnosis code list. Reimbursement for a Detailed OB Ultrasound (CPT codes 76811 and 76812) ...

http://www.uhccommunityplan.com/content/dam/communityplan/healthcareprofessionals/reimbursementpolicies/UHC-ProviderBulletin-11-12.pdf

Date added: October 27, 2013 - Views: 2

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National Imaging Associates, Inc. Clinical guideline ...

CPT Codes: 76805, +76810, 76811, +76812, 76815, 76816, 76817, ... (cervical length usually assessed between eighteen - ... (CPT Code 76817): ...

http://www1.radmd.com/media/523138/ob-ultrasound-guideline-2012.pdf

Date added: October 27, 2012 - Views: 33

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Ultrasound Exam for Pregnancy - Health Plan of Nevada

The Current Procedural Terminology ... described by this code is a covered or non ... CPT 76816 to be used for the follow up ultrasound for 76811 and 76805 when ...

http://www.healthplanofnevada.com/documents/provider%20files/Ultrasound%20Exam%20for%20Pregnancy%20OBG020.pdf

Date added: January 27, 2012 - Views: 14

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At Long Last, a CPT Change for Obstetric Sonography

CPT, Current Procedural Terminology; RVU, ... 76811 Ultrasound, ... Code 76811. The impetus for the whole set of

http://www.jultrasoundmed.org/content/22/1/1.full.pdf

Date added: April 1, 2012 - Views: 12

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Your Physician Based Billing? Missing a Revenue Opportunity ...

± CPT Code 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination,

http://www.codingcert.com/wp-content/uploads/2012/05/Webinar-Handouts-OB-Ancillary-Services-Are-You-Missing-a-Revenue-Opportunity-in-your-Physician-Based-Billing1.pdf

Date added: April 21, 2013 - Views: 6

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APPLICABLE CPT CODES FOR FETAL MONITORING

APPLICABLE CPT CODES FOR FETAL MONITORING The information about Medicare's relative value payment below represents a national average reimbursement

http://www.medicalresources.com/pdf/Nicolet-APM-APM2-CPT-Codes.pdf

Date added: March 24, 2013 - Views: 14

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October 2012 2012-047 Avoid Coding Errors on Claims for ...

medical criteria for coverage. Reimbursement for CPT code 76811 is payable when an anomaly is suspected on the basis of maternal history, laboratory abnormalities, ...

https://www.bcbsal.org/providers/publications/providerFacts/2012-047.pdf

Date added: November 27, 2012 - Views: 7

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CPT Codes: Ultrasounds - Howard Radiology

Ultrasound Abdomen (Complete) ... OB Detailed Anatomy Survey (18-20 wks).. 76811 OB Follow up ... CPT Codes: Ultrasounds

http://howardradiology.com/pdfs/Ultrasound%20CPT%20Codes.pdf

Date added: September 26, 2012 - Views: 64

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Obstetrical Ultrasonography - Oxford Health Plans

©1996-2014, Oxford Health Plans, LLC 1 . CLINICAL POLICY . ... CPT Code 76811: will be reimbursed two times per pregnancy if billed by two different providers. If :

https://www.oxhp.com/secure/policy/obstetrical_ultrasonography.pdf

Date added: June 28, 2013 - Views: 1

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ULTRASOUND SERVICES FREQUENTLY ASKED QUESTIONS (FAQs) to bill ...

later for vaginal bleeding, which follow-up procedure code should we bill, ... These codes must be billed with their primary CPT codes 76801, 76805, 76811, or

http://www.ahca.myflorida.com/Medicaid/e-library/docs/ultrasounds_faqs_08-09_13-2010.pdf

Date added: November 27, 2014 - Views: 1

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Obstetrical Ultrasound Policy - UnitedHealthcare Community ...

UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT® ... Coding Committee. White paper on ultrasound code 76811 ...

http://www.uhccommunityplan.com/content/dam/communityplan/healthcareprofessionals/reimbursementpolicies/OB-Ultrasound-Policy.pdf

Date added: January 19, 2014 - Views: 2

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Perinatal Diagnostic Imaging

Level II (Complete and Detailed Exam) 76811 –A very detailed exam of fetal anatomy, ... It is best to use a diagnosis code that is not a “V” code.

http://www.perinatalimaging.com/Make_an_Appointment_-_Diagnosis_Codes.pdf

Date added: October 7, 2012 - Views: 2

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MODIFIER 59 ARTICLE - Centers for Medicare and Medicaid Services

Current Procedural Terminology (CPT) ... Modifier 59 may be reported with code 11100 if the procedures are performed at different

http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Downloads/modifier59.pdf

Date added: June 21, 2012 - Views: 116

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Adviser OBGM 0903 final - Home : OBG Management

Use codes 76801-26, 76817-26-51. ... Are CPT 76805 and 76811 different? Both ... The key to use of code 76811 is medical justifi-

http://www.obgmanagement.com/fileadmin/obg_archive/pdf/1509/1509OBGM_Adviser.pdf

Date added: May 24, 2014 - Views: 2

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Coding the Ob scan - The PLAZA Group, LLC - CMEs via Medical ...

Coding the Ob scan! Joshua A. Copel, MD! ... • Codes assigned by CPT Committee ... SMFM Statement on 76811! Because this new code will be assigned more

http://cmebyplaza.com/Registrants/GoHo12/Lectures/Copel%20Coding%20Update.pdf

Date added: May 12, 2013 - Views: 3

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Payable diagnosis codes and procedure codes for various claim ...

76801, 76805, 76811, 76813, 76815-76818, ... *For code combination approach, ... Payable diagnosis codes and procedure codes for various claim type

http://chcmedicaid-michigan.coventryhealthcare.com/web/groups/public/@cvty_medicaid_michigan/documents/adacct/c044652.pdf

Date added: November 2, 2011 - Views: 8

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National Imaging Associates, Inc. - RadMD.com

CPT Codes: 76811, +76812 Last Reviewed Date: May, 2013 Guideline Number: NIA_CG_101-2 Last Revised Date: ... White Paper on Ultrasound Code 76811.

http://www1.radmd.com/media/523138/ob-ultrasound-detailed-guideline-final-06-01-2013.pdf

Date added: August 25, 2013 - Views: 2

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OB Coding – The Global Package & Beyond

CPT code 99401CPT code 99401-99404 ... – 76811: fetal and maternal ... Billing When Less Than the Global OB Package is Provided • CPT E/M codesCPT E/M codes

http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/1ed43b97-1be4-4129-b20d-001d3f82fb18/da763952-b630-4e2b-bfd6-ca9ea1943376.pdf

Date added: October 24, 2012 - Views: 2

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Anthem Central Region Clinical Claims Edit #300

Anthem Central Region does not bundle 76811 with 76812. ... inappropriate interpretation of CPT code definition) code to code 76825. Therefore, if 76986 is submitted

http://www.anthem.com/shared/noapplication/f3/s3/t0/pw_043143.pdf?na=custclaimsedits

Date added: May 17, 2012 - Views: 3

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STUDY GUIDE for the Radiology Coding Certification Exam

Radiology Coding Certification Exam Prepared and Published By: ... In the diagnostic radiology and surgical code sections of CPT b. In the ultrasound section of CPT

http://marypcampbell.writersresidence.com/system/attachments/files/27814/original/PSTG_2013.pdf?1359146047

Date added: May 6, 2013 - Views: 8

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Claims Coding and Reimbursement Policy Update

CPT/HCPCS Codes Effective January 1, 2004, April 1, 2004 and July 1, 2004 ... instances of code combinations for which services will both be allowed, ...

http://www.anthem.com/provider/nh/f5/s1/t0/pw_a032552.pdf

Date added: February 17, 2012 - Views: 26

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By using Category II CPT Codes with Category I CPT/HCPC Codes ...

By using Category II CPT Codes with Category I CPT/HCPC Codes at the time a service is ... CPT II code, both your remittance ... 76801, 76805, 76811, 76813, 76815 ...

http://healthamerica.coventryhealthcare.com/web/groups/public/documents/webcontent/c051476.pdf

Date added: November 2, 2011 - Views: 18

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Imaging CPT Code Reference Sheet studies

CPT Code Reference Sheet Not all studies are performed at each location CPT CODES—HCA VA OP IMAGING Appomattox Imaging

http://www.hcavaopimaging.com/wp-content/uploads/2011/04/CPT-Code-Reference-Sheet-_1.pdf

Date added: December 16, 2011 - Views: 96

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Get Familiar with New OB Ultrasound Codes

This add-on code is used with 76811 for each additional gestation. Limited exam. ... NEW CPT CODES FOR OBSTETRICAL ULTRASOUND To: All Radiologists From: Office Manager

http://www.hcpro.com/content/42885.pdf

Date added: November 11, 2011 - Views: 8

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Obstetrical Policy - Oxford Health Plans

Obstetrical Policy: Reimbursement Policy (Effective 12/01/2014) 3 ©1996-2014, Oxford Health Plans, LLC • Postpartum care only (CPT code 59430)

https://www.oxhp.com/secure/policy/obstetrical_policy.pdf

Date added: May 18, 2013 - Views: 5

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Ultrasound Procedure Procedure Code(s) Payment

Ultrasound Procedure Procedure Code(s) Payment Abdomen soft tissue 76705 98.71 ... Pregnant Uterus with detailed fetal anatomic examination 76811 177.24

http://www.mooresoundimaging.com/wp-content/uploads/2012/04/Reimbursement-2012.pdf

Date added: March 27, 2013 - Views: 9

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CareSource Provider Coding and Reimbursement Guidelines

Currently valid CPT/HCPC code or modifier usage CareSource seeks to apply fair and reasonable coding edits. We maintain a provider appeals function

http://www.caresource.com/documents/oh-p-260_provider_coding_and_reimbursement_info-pdf

Date added: December 14, 2012 - Views: 2

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Commonwealth of Massachusetts Executive Office of Health and ...

Centers for Medicare & Medicaid Services ... 76811 76812 76813. Commonwealth of ... Medical Association’s latestCurrent Procedural Terminology (CPT) code book and ...

http://www.mass.gov/eohhs/docs/masshealth/transletters-2012/chc-94.pdf

Date added: September 26, 2012 - Views: 5

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Prenatal and Postpartum Care (PPC) - NCQA

Current Procedural Terminology © 2009 American ... Any one code. CPT: 76801, 76805, 76811 ... not on the date of the postpartum visit, so this code may be used ...

http://www.ncqa.org/portals/0/Prenatal%20Postpartum%20Care.pdf

Date added: December 28, 2012 - Views: 15

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CPT Code Reference Sheet - HCA VA Outpatient Imaging

CPT Code Reference Sheet Not all studies are performed at each location CPT CODES—HCA VA OP IMAGING Appomattox Imaging (804) 524-2340 Buford Road Imaging

http://www.hcavaopimaging.com/wp-content/uploads/2010/11/CPT-Code-Reference-Sheet-4-2012.pdf

Date added: October 22, 2012 - Views: 18

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Basic Versus Detailed Sonography - Journal of Ultrasound

Basic Versus Detailed Sonography What Do We Miss? Stephen T. Chasen, MD, Robin B. Kalish, MD, ... [CPT] code 76811) was routinely performed on all patients.

http://www.jultrasoundmed.org/content/28/8/1015.full.pdf

Date added: June 17, 2013 - Views: 5

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Provider Manual: Billing section - Independence Blue Cross

Current Procedural Terminology ... 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816, 76817, ... or SA704 NAIC code; all KHPE HMO, KHPE POS, Keystone 65 HMO, ...

http://www.ibx.com/pdfs/providers/provider_manual/billing.pdf

Date added: May 8, 2013 - Views: 20

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maternal and fetal diagnostics - BCBSNC - Health Insurance ...

An Independent Licensee of the Blue Cross and Blue ... 76802, 76805, 76810, 76811, 76812 ... removed deleted HCPCS code S3618 and added new CPT code 84704 ...

http://www.bcbsnc.com/assets/services/public/pdfs/medicalpolicy/maternal_and_fetal_diagnostics.pdf

Date added: February 4, 2012 - Views: 7

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HCR MPP-0208-031914 Global Maternity PymtPolicy - UHA » Home

Global Maternity Care is reported when a physician from an ... Technical component of ultrasounds (CPT code 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816 ...

https://uhahealth.com/uploads/forms/form_obg_global-maternity.pdf

Date added: February 12, 2014 - Views: 1

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Obstetrics/Gynecology Payment Policy - FCHP - Massachusetts ...

Obstetrics/Gynecology Payment Policy . Policy Fallon Community Health Plan ... (CPT code 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816, 76817, 76825, ...

http://www.fchp.org/providers/medical-management/~/media/Files/ProviderPDFs/PaymentPolicies/ObstetricsGynecologyPaymentPolicy_052014.ashx

Date added: March 27, 2014 - Views: 1

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Corporate Reimbursement Policy - Health Insurance for North ...

Modifier Guidelines CPT code.” Notification given 12/10/13 for effective date 2/11/14. (adn) 5/13/14 Policy category changed from “Corporate Medical Policy ...

http://www.bcbsnc.com/assets/services/public/pdfs/medicalpolicy/modifier_guidelines.pdf

Date added: December 29, 2011 - Views: 16

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Coding for invasive fetal procedures - Hill & Associates

Dr. d'Urberville also reported CPT codes 76811 and 59074. CPT code 59074 describes fetal fluid drainage, w hich could be a procedure such as a thoracentesis or ...

http://codingandcompliance.com/news/NewsArticleFiles/FetalProcedures.pdf

Date added: February 17, 2015 - Views: 1

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Radiology - Harvard Pilgrim Health Care

• Outpatient radiological services are reimbursed using the CPT code ... 76776, 76801, 76802, 76805, 76810*, 76811 ... • When both a CPT code and a HCPCs code ...

https://www.harvardpilgrim.org/pls/portal/url/item/D0AD76450ED0423781AAC402D0F95F9C

Date added: November 8, 2011 - Views: 10

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SOS PCP OB Billing Instructions - UnitedHealthcare Community ...

Part A: Any one code: CPT code: 99201-99205, ... 76811 Us, Preg Uter, ... SOS PCP OB Billing Instructions.doc Author:

http://www.glhp.com/LogInsert.aspx?FileAccessed=Providers/PDF/SOS/SOS_PCP_OB_Billing_Instructions.pdf

Date added: October 28, 2012 - Views: 2

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The American College of Radiology General Radiology ...

CPT Code 74262 added. 114 CT with and without contrast: CPT Codes 0145T, 0146T, ... 76811 76812 76813 76814 76815 76816 76817 76818 76819 76820 76821 76825

http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/NRDR/GRID/DataDictionaryGRID.pdf

Date added: November 2, 2012 - Views: 6

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Medical Fee Guideline - Texas Department of Insurance

Texas Labor Code (Texas Workers’ Compensation Act) (Law) ... Physicians’ Current Procedural Terminology (CPT code book) and are also available through commercial

http://www.tdi.texas.gov/wc/fee/documents/mfgmodule.pdf

Date added: November 23, 2011 - Views: 60

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Healthcare Operations Utilization Management Protocol

D. CPT 76811 is not intended to be the routine scan performed for all ... White paper on ultrasound code 76811. Announcements. Washington, DC: SMFM; May 24 ...

http://www.healthplanofnevada.com/documents/provider%20files/Ultrasound%20Exam%20for%20Pregnancy_OBG020_092908R.pdf

Date added: February 2, 2012 - Views: 18