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The Mysterious World of OB Ultrasound Coding - AAPC

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The Mysterious World of OB Ultrasound Coding - AAPC

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: 69

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Coding for multiple ultrasounds - CODING AND COMPLIANCE

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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Ultrasound Obstetrical Care Services

Present an overview of key Medicaid obstetrical ultrasound services policies. ... CPT code 76811 is limited to one procedure per pregnancy. 25. Ultrasound Codes

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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Coding in Ob Sonography - Meetingpro.info

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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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

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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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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Changes to Reimbursement Policies

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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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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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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National Imaging Associates, Inc. Clinical guideline ...

CPT Codes: 76805, +76810, 76811, +76812, 76815, 76816, 76817, ... (cervical length usually assessed between ... ultrasound code 76811. Announcements Washington ...

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

Date added: October 27, 2012 - Views: 33

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Obstetrical Ultrasonography - Oxford Health Plans

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

ULTRASOUND SERVICES FREQUENTLY ASKED QUESTIONS (FAQs) QUESTION: Since we see patients strictly on a referral basis, how do we know what code

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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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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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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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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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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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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Adviser OBGM 0903 final - OBG Management

CPT now notes that a transvaginal and transabdominal ultrasound may be report- ... Code 76811 (ultrasound, pregnant uterus, real time with image documentation, fetal

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

Date added: May 24, 2014 - Views: 2

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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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Modifier 59 Article: Proper Usage Regarding Distinct ...

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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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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Coding the Ob scan - The PLAZA Group, LLC

Coding the Ob scan! Joshua A. Copel, MD! ... • ACOG “CPT Coding in Obstetrics & ... 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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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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Claims Coding and Reimbursement Policy Update - Anthem

3 Code Brief description Coverage policy: 20982 Ablation bone tumor Not covered; considered investigational; see Anthem Medical Policy Surg.00050

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

Date added: February 17, 2012 - Views: 26

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Obstetrical Policy - OXHP

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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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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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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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: 98

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Ultrasound Procedure Procedure Code(s) Payment

Ultrasound Procedure Procedure Code(s) ... Aorta/Iliac ultrasound 93978 164.45 ... 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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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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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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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: 19

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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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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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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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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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Corporate Reimbursement Policy

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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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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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

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maternal and fetal diagnostics - Blue Cross and Blue Shield ...

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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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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Medical Fee Guideline - Texas Department of Insurance

Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) ... Add to CPT Code 97799 to indicate Outpatient Medical

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

Date added: November 23, 2011 - Views: 60

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Provider Type 74 Billing Guide - Nevada

Provider Type 74 Billing Guide ... The Essure Contraceptive System must be billed using CPT code 58565 for the ... Non-payable if 76811 has been ...

https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT74.pdf

Date added: March 21, 2015 - Views: 1