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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 - 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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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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Ultrasound Obstetrical Care Services

CPT code 76811 is limited to one procedure per pregnancy. 25. Ultrasound Codes Only one of the following ultrasound procedure 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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Ultrasound Policy Overview - MultiPlan

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

CPT book sets rules • Descriptions imperfect • Review usual Ob codes, recent ... SMFM Statement on 76811 Because this new code will be assigned more

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

Date added: November 2, 2011 - Views: 27

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

OB Ancillary Services ± Are You Missing a Revenue Opportunity in ... ± CPT Code 76811 Ultrasound, pregnant uterus, real time with image documentation, ...

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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Ultrasound Exam for Pregnancy - Health Plan of Nevada

The Current Procedural Terminology ... Listing of a service code in this policy does ... 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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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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National Imaging Associates, Inc. Clinical guideline ...

CPT Codes: 76805, +76810, 76811, +76812, 76815, 76816, 76817, 76820, ... ultrasound code 76811. Announcements Washington, DC: SMFM; May 24, 2004. Retrieved from:

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

Date added: October 27, 2012 - Views: 33

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Obstetrical Ultrasonography - OXHP

CPT Code 76811: will be reimbursed two times per pregnancy if billed by two different ... for non-obstetrical transvaginal ultrasound use 76830; If transvaginal

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

These codes must be billed with their primary CPT codes 76801, 76805, 76811, or ... reimbursed with a diagnosis code on Appendix C with no documentation of medical ...

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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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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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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CPT Code Guidelines Ultrasound - Lake Medical Imaging

CPT Code Guidelines Ultrasound Ultrasound Abdomen 76700 Abdomen Complete Ultrasound 76705 Abdomen Limited 93975 Abdomen Doppler 76770 Aorta/Renal Retroperitoneal ...

http://www.lakemedicalimaging.com/Domains/www.lakemedicalimaging.com/CMSFiles/Docs/CPT%20Codes/CPT%20Code%20Guidelines%20for%20Ultrasound.pdf

Date added: November 2, 2012 - Views: 40

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Coding Edge Tests Your Knowledge - AAPC

When ®appending multiple modifiers to a CPT code, which is the correct sequencing? ... b. 99214, 76811, 76827 c. 99243, 76811, 76820 d. ... Per CPT ® 2012, the ...

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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MRI - 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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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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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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Perinatal Diagnostic Imaging

Level II (Complete and Detailed Exam) 76811 –A very detailed exam of fetal anatomy, used when more ... Medicaid, use a code from Appendix C if a 76801, 76805, ...

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

Date added: October 7, 2012 - Views: 2

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Obstetrical Services Policy - UnitedHealthcare Community Plan ...

UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT® ... code. The Current Procedural Terminology ... United HealthCare ...

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

Date added: October 29, 2013 - Views: 2

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Obstetrical Policy - OXHP

Obstetrical Policy: Reimbursement Policy (Effective 06/01/2014) 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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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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Anthem Central Region Clinical Claims Edit #300

gestation {list separately in addition to code for primary procedure). 76811 ... inappropriate interpretation of CPT code definition) code to code 76825.

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 - 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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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 ...

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

Date added: May 26, 2012 - Views: 5

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Commonwealth of Massachusetts Executive Office of Health and ...

76811 76812 76813. Commonwealth of Massachusetts MassHealth ... Medical Association’s latestCurrent Procedural Terminology (CPT) code book and to the HCPCS Level II

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

Date added: September 26, 2012 - Views: 5

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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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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: 103

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Healthcare Operations Utilization Management Protocol

D. CPT 76811 is not intended to be the routine scan performed for ... (SMFM). White paper on ultrasound code 76811. Announcements. Washington, DC: SMFM; May 24, 2004 ...

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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Provider Manual: Billing section - Independence Blue Cross

CPT and HCPCS billing codes ... new procedures that have not yet been assigned a CPT code, ... 76810, 76811, 76812, 76815, 76816, 76817, 76818, 76819, 76820, 76821 ...

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

Date added: May 8, 2013 - Views: 20

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Peach State Health Plan OB Ultrasound Management Program ...

Peach State Health Plan ... o Providers can bill one CPT code from any two of the following three ... 76805 or 76811 for second trimester ...

http://www1.radmd.com/media/253236/peach-state-health-plan-obus-faq.pdf

Date added: April 27, 2012 - Views: 4

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Prenatal and Postpartum Care (PPC) - NCQA

Prenatal and Postpartum Care ... Any one code. CPT: 76801, 76805, 76811, 76813, ... Current Procedural Terminology © 2009 American Medical Association.

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 in ...

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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SOS PCP OB Billing Instructions - UnitedHealthcare Community ...

Code CPT Code Description 76801 Us, Preg Uter, Real Time W/Image Document, Fetal & Maternal, 1st Trimest, ... 76811 Us, Preg Uter, Real Time W/Image Doc, ...

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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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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Radiology - Harvard Pilgrim Health Care

76775, 76776, 76801, 76802, 76805, 76811, 76817, 76830 ... Radiology (cont.) Code Description ... • When both a CPT code and a HCPCs code exist that describe the ...

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

Date added: November 8, 2011 - Views: 10

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76801, 76805, 76810, 76811, 76812, 76815 and 76817 9109: This ...

of claims billed for procedure codes 76801, 76805, 76810, 76811, ... Affected claims were denied with Remittance Advice Details (RAD) code 9109: This service is not

http://files.medi-cal.ca.gov/pubsdoco/epc/2011/12288_P15569.pdf

Date added: February 16, 2013 - Views: 4

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HCR MPP-0208-031914 Global Maternity PymtPolicy

Episiotomy (CPT code 59300) 6. All postpartum care through 6 weeks, ... (CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816 76817, 76825, 76826, 76827,

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

Date added: February 12, 2014 - Views: 1

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The American College of Radiology General Radiology ...

August 26, 2008 CPT codes added. ... CPT Code 0028T deleted ... 76811 76812 76813 76814 76815 76816 76817 76818 76819 76820

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

Date added: November 2, 2012 - Views: 6

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HEDIS Quick Reference Guide - Health First

Measure CPT Code HCPCS ICD9-CM Diagnosis* DTaP 90698, 90700, 90721, 90723 ... Part B: Any one code. CPT Codes 76801, 76805, 76811, 76813, 76815 -76818, 80055

http://www.hfni.com/images/dload/fl/WC-HEDIS-GUIDE.PDF

Date added: October 5, 2012 - Views: 2

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CPT Code Changes for 2014 RADIOLOGY - McKesson

CPT Code Changes for 2014 RADIOLOGY Myra Blankenship, CPC, CIRCC ... Current Procedural Terminology (CPT®) copyright: 2014 American Medical Association. Title:

http://mptrms.mckesson.com/rs/MckessonPT/images/RAD_2014_CPT%20Code%20Changes%20FINAL.pdf

Date added: February 8, 2014 - Views: 43

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Policy - Nevada

Updated: 08/01/2014 Provider Type 20, 24 and 77 Billing Guide pv07/03/2014 2 / 9 CPT code 90650 is an FDA-approved HPV vaccine for females only age 9-26.

http://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT20-24-77.pdf

Date added: March 31, 2012 - Views: 6

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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: 24

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

CPT II code, both your remittance ... published annually in the CPT book as part of the general CPT code set. ... 76801, 76805, 76811, 76813, 76815-76818, 80055

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

Date added: November 2, 2011 - Views: 18