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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: 77

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Coding for multiple ultrasounds - CODING AND...

The CPT code descriptor for 76816 includes exam ples of possible uses ... code 76811 includes all the components of the fetal and

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

Date added: November 27, 2014 - Views: 1

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Changes to Reimbursement Policies - Medicare

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

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

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 Policy Overview - Multiplan

Members are covered for one routine prenatal ultrasound per pregnancy — CPT code 76801 ... CPT codes 76811 ... Amerigroup members in the Medicaid Rural ...

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

Date added: March 10, 2013 - Views: 5

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National Imaging Associates, Inc. Clinical...

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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Your Physician Based Billing? Missing a Revenue...

± 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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Obstetrical Services Policy (R0064) - UHCCommunit

package code. The Current Procedural Terminology ... (CPT codes 76801, 76802, 76805, 76810, 76811 ... 1/27/2014 Annual Renewal of Policy approved by United HealthCare ...

http://www.uhccommunityplan.com/content/dam/communityplan/healthcareprofessionals/reimbursementpolicies/R0064-ObstetricalServicesPolicy.pdf

Date added: October 29, 2013 - Views: 4

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Ultrasound Exam for Pregnancy - Health Plan of...

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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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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CPT Codes: Ultrasounds - Howard Radiology

... .. 76811 OB Follow up..... 76816 OB Limited ... CPT Codes: Ultrasounds T I 443.574.5800 F I 443.574.5822. Title: Layout 1 Author: Baker

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

Date added: September 26, 2012 - Views: 67

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At Long Last, a CPT Change for Obstetric...

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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Obstetrical Ultrasonography - OXHP

CPT Code 76811: will be reimbursed two times per pregnancy if billed by two different providers. If : 76811: is billed multiple times by the same provider, claim(s ...

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

Date added: June 28, 2013 - Views: 1

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Obstetrical Ultrasound Coding and the Radiology...

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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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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Obstetrical Policy - OXHP

Obstetrical Policy: Reimbursement Policy (Effective04/01/2015 ) 3 ©1996-2015, 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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Payable diagnosis codes and procedure codes for...

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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Get Familiar with New OB Ultrasound Codes - HCPro

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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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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Coding the Ob scan - The PLAZA Group, LLC

Code your scans more accurately! 2. Understand new CPT & ICD codes! Conflicts! ... 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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National Imaging Associates, Inc. - RadMD.com

National Imaging Associates, Inc. Clinical guideline: Obstetric Ultrasound-Detailed Original Date: April, 2013 Page 1 of 3 CPT Codes: 76811, +76812 Last ...

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

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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CPT Code Reference Sheet - HCA VA Outpatient...

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: 21

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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: 103

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CareSource Provider Coding and Reimbursement...

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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Coding Edge Tests Your Knowledge - AAPC

The area was cleansed and Silvadene cream was ... When ®appending multiple modifiers to a CPT code, which is the correct ... b. 99214, 76811, 76827 c. 99243

http://static.aapc.com/5548A1AF-4C9F-49A2-BFE0-BFA7D2344700/c699c38a-b32f-4b68-adb4-b340b0e1b167/5fca2a13-73ab-4bf9-9cdb-1fc07318a830.pdf

Date added: October 28, 2012 - Views: 8

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Claims Coding and Reimbursement Policy Update

CPT/HCPCS Codes Effective January 1, 2004, ... Blue Cross and Blue Shield’s ... Effective 01/01/2004 Code Base 00529 11

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

Date added: February 17, 2012 - Views: 27

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Ultrasound Billing CPT Codes Summary and Notes

ULTRASOUND STUDY CPT CODE CPT DESCRIPTION NOTES Biliary 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

http://www.emergencyultrasoundteaching.com/assets/us_billing_summary.pdf

Date added: December 23, 2012 - Views: 86

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Radiology - Harvard Pilgrim

- Outpatient services should be billed to the ... 76776, 76801, 76802, 76805, 76810*, 76811, 76812*,76815 ... • 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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LOUISIANA MEDICAID PROGRAM ISSUED: 02/01 ... -...

LOUISIANA MEDICAID PROGRAM ISSUED ... The most appropriate CPT code should be billed for ... Reimbursement for CPT codes 76811 and 76812 is restricted to ...

http://www.lamedicaid.com/provweb1/Providermanuals/manuals/PS/PS_Cov_Serv_Obstetrics_2_01_12.pdf

Date added: June 1, 2013 - Views: 1

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Commonwealth of Massachusetts Executive Office of...

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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Provider Manual : Billing section - IBX

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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HCR MPP-0208-031914 Global Maternity PymtPolicy

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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Download Obstetrics Gynecology Payment Policy Fchp

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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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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Department of Radiology US PROCEDURES - Orange

department of radiology us procedures name cpt code ob each addtl gestation>=14w0d 76810 ob fetal nuch transluc ea add 76814 ob fetal nuchal translucency 76813

http://www.sjo.org/documents/Radiology_and_Imaging/Ultrasound-Procedures.pdf

Date added: December 4, 2012 - Views: 10

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Corporate Reimbursement Policy - BCBSNC

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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Maternal Fetal Medicine (MFM) -2014 - Kaiser...

Maternal Fetal Medicine ... Service CPT Code Cost Range ... $78.84 – A2: Maternal age >35 w/ genetic ultrasound Genetic Ultrasound 76811 $303.58 Type B1 – B2: ...

http://info.kaiserpermanente.org/info_assets/colorado-deductible-plans/pdfs/maternal_fetal_medicine_fee_list.pdf

Date added: December 26, 2013 - Views: 1

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STUDY GUIDE for the Radiology Coding Certification...

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: 9

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Coding for invasive fetal procedures - Hill &...

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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OB ULTRASOUND CODING CHECKLIST - RadRx | Home

OB ULTRASOUND CODING CHECKLIST 2 76811 (this isn't specified by gestatin age, but recommended NOT before 18 weeks 0 days) (The intent of this code is for evaluation ...

http://www.radrx.com/ToolsTips/OB_US_Checklist.pdf

Date added: June 16, 2013 - Views: 1

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Basic Versus Detailed Sonography - Journal of...

n 2003, a new Current Procedural Terminology(CPT) code, ... ment of the umbilical cord insertion site. The CPT code 76811 describes an examination including the compo-

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

Date added: June 17, 2013 - Views: 5

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SOS PCP OB Billing Instructions

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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OB Complete Ultrasound - Iowa Radiology

Complete Ultrasound What is an OB Complete Ultrasound? Ultrasound imaging or sonography uses sound waves to produce pictures of the ... CPT Code 76805 Indications

http://www.iowaradiology.com/quickguide/Womens_Imaging_US_OB_Complete.pdf

Date added: January 30, 2012 - Views: 17

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Maternal and Fetal Diagnostics - BCBSNC

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: 8

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Medical Fee Guideline - Texas Department of...

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: 62

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Coding the Ob scan Objectives - AIUM

3! SMFM Statement on 76811! Because this new code will be assigned more RVUs than the basic obstetrical sonogram (76805), the SMFM believes that the new code

http://www.aium.org/cme/events/sem2015/agendaFiles/16coding.pdf

Date added: May 10, 2015 - Views: 1

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SPECIALTY CPT CODES DESCRIPTION - 1199SEIU Funds

Exclude code 77080 and 77081 ... 76801, 76802, 76805, 76810, 76811, 76812, 76813, ... SPECIALTY CPT CODES DESCRIPTION. Otolaryngology. 70210, 70220, 70371, ...

http://1199seiubenefits.org/wp-content/uploads/2010/12/Radiology-Privileging-List.pdf

Date added: September 29, 2012 - Views: 30