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Obstetrical Ultrasound Coding and the Radiology...

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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: 7

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The Mysterious World of OB Ultrasound Coding -...

The Mysterious World of OB Ultrasound Coding Lori-Lynne’s Bio: ... CPT® Code-Set Specifics 76811: Ultrasound, pregnant uterus, real time with image

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: 96

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Coding for multiple ultrasounds - Hill &...

Coding for multiple ultrasounds ... 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: 11

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Ultrasound Policy Overview - Multiplan

Ultrasound Policy Overview. ... Members are covered for one routine prenatal ultrasound per pregnancy — CPT code 76801 or ... 76816, 76817, and 76811. Not ...

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

Date added: March 10, 2013 - Views: 9

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Anthem Central Claim Edit#300

Anthem Central Region does not bundle 76811 with 76812. Based on the 2003 CPT manual, ... inappropriate interpretation of CPT code definition) code to code 76825.

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

Date added: July 31, 2015 - Views: 6

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Changes to Reimbursement Policies -...

New Reimbursement Policies and ... Reimbursement for a Detailed OB Ultrasound (CPT codes 76811 and 76812) ... CPT code 80162

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

Date added: October 27, 2013 - Views: 6

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

Reimbursement for CPT code 76811 is payable when an anomaly is suspected on the basis ... Avoid Coding Errors on Claims for Obstetrical Ultrasounds October 2012

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

Date added: November 27, 2012 - Views: 14

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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, ...

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

Date added: July 28, 2015 - Views: 4

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Obstetrical Ultrasonography - Oxford Health Plans

Obstetrical Ultrasonography: Clinical Policy ... correct CPT code (76815 or 76816) CPT Code 76811 will be reimbursed two times per pregnancy if billed by two different

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

Date added: June 28, 2013 - Views: 5

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Obstetrical Ultrasound Policy -...

Obstetrical Ultrasound Policy Policy Number 2016R7112B ... (CPT 76811) is not necessary as ... Coding Committee. White paper on ultrasound code 76811. Announcements ...

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

Date added: January 19, 2014 - Views: 10

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Coding Ob sono with ICD-10 - IAME - Home

Understand new CPT & ICD codes! ... SMFM Statement on 76811! Because this new code will be assigned more ... Coding Ob sono with ICD-10.ppt

https://iame.com/conferences/syllabi/hr15/17_Copel_CodingOb.pdf

Date added: November 7, 2015 - Views: 1

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CPT Modifier 59 Article - Home - Centers for...

Modifier 59 may be reported with CPT code 75710 if a diagnostic angiography has not been previously performed and the decision to perform the revascularization is ...

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

Date added: June 21, 2012 - Views: 162

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Nuchal Translucency Reimbursement - NTQR

Nuchal Translucency Reimbursement ... New CPT codes for a Nuchal Translucency issued ... 76814 is the CPT code for each additional gestation.

https://www.ntqr.org/MyFTP/SM/Documents/Operations/NTReimbursement.pdf

Date added: October 24, 2012 - Views: 5

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Prenatal Ultrasound Coverage and Coding - Anthem

Prenatal Ultrasound Coverage and Coding . HealthKeepers, Inc. covers CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76815,

https://mediproviders.anthem.com/Documents/VAVA_CAID_PrenatalUltrasoundCoverage.pdf

Date added: March 31, 2015 - Views: 7

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3302jum189-328online Layout 1 1/17/14 9:41 AM Page...

been little consistency in the application of Current Procedural Terminology (CPT) code ... Codes Associated With Various Indications for the 76811 Examination Code ...

http://www.jultrasoundmed.org/content/33/2/189.full.pdf

Date added: February 21, 2014 - Views: 2

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Illinois Department of Public Aid

Illinois Department of Public Aid ... Code APL Group CPT/HCPCS Description 76811 2c Ultrasound, pregnant uterus, real time with image documentation, fetal &

http://www.hfs.illinois.gov/assets/113004aplcode.pdf

Date added: February 5, 2012 - Views: 5

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Provider Type 74 Billing Guide - Nevada

Provider Type 74 Billing Guide Nurse Midwife Code Description Gestation Approved Indications To monitor cervix in cases of incompetent cervix, or

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

Date added: May 26, 2012 - Views: 5

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

Maternal Fetal Medicine (MFM) -2014 ... Service CPT Code Cost Range ... – A2: Maternal age >35 w/ genetic ultrasound Genetic Ultrasound 76811 $303.58 Type B1 ...

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

Date added: December 26, 2013 - Views: 5

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Basic Versus Detailed Sonography -...

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: 8

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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: 6

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Your Physician Based Billing? Missing a Revenue...

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: 10

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National Imaging Associates, Inc. Clinical...

National Imaging Associates, Inc. Clinical guideline: Obstetric Ultrasound Guideline ... (CPT Code 76817): ... ultrasound code 76811.

http://www.niahealthcare.com/media/523138/ob-ultrasound-guideline-2012.pdf

Date added: August 3, 2013 - Views: 2

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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: 10

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Coding Ob sono with ICD-10 - cmebyplaza.com

Understand new CPT & ICD codes! ... ICD-10 rules! • Some similar ... SMFM Statement on 76811! Because this new code will be assigned more

http://cmebyplaza.com/Registrants/GoHo13/Documents/Speakers%20lectures%202013/Copel%20Coding%20Update%20for%202014.pdf

Date added: February 28, 2014 - Views: 1

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LOUISIANA MEDICAID PROGRAM ISSUED: 02/01/12...

Obstetrics All prenatal ... The most appropriate CPT code should be billed for deliveries. ... Reimbursement for CPT codes 76811 and 76812 is restricted to maternal ...

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

Date added: June 1, 2013 - Views: 5

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Ultrasound Billing CPT Codes Summary and Notes

Ultrasound Billing CPT Codes Summary and Notes • CPT codes for ultrasound examinations are considered to be “complete” studies unless specified as “limited ...

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

Date added: December 23, 2012 - Views: 103

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Codes for 2015 New Orthopaedic CPT - AAOS

new orthopaedic-related CPT code information. Physicians and coders should review the entire 2015 CPT manual for guideline and code changes pertinent to their individ-

http://www.aaos.org/news/aaosnow/jan15/managing1_t1.pdf

Date added: March 2, 2015 - Views: 12

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CPT Codes: Ultrasounds - Howard Radiology

OB Detailed Anatomy Survey (18-20 wks).. 76811 OB Follow up ... CPT Codes: Ultrasounds T I 443.574.5800 F I 443.574.5822. Title: Layout 1 Author: Baker Created Date:

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

Date added: September 26, 2012 - Views: 92

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1-800-454-3730 Quick Reference - Providers –...

Quick Reference Provider Card Important Contact Information Continued Quality Management Program • 1-800-454-3730 ... CPT code 76811 (and +76812) is only

https://providers.amerigroup.com/ProviderDocuments/LALA_QRC.pdf

Date added: January 10, 2016 - Views: 1

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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: 135

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Obstetrical Policy - Oxford Health Plans

Obstetrical Policy: Reimbursement Policy (Effective 10/01/2015) 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: 19

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MRI - HCA VA Outpatient Imaging

MRI CPT Code Exam CPT Code Exam 70336 MRI TMJ Joint 72198 MRI Angio Pelvis w/ & w/o contrast 70540 ... Soft Tissue of Head & Neck 76811 US OB Complete Single

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

Date added: October 22, 2012 - Views: 61

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Corporate Reimbursement Policy - BCBSNC

Corporate Reimbursement Policy ... be performed bilaterally or for which the base CPT code signifies a bilateral procedure.

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

Date added: February 1, 2012 - Views: 22

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maternal and fetal diagnostics - BCBSNC

Maternal and Fetal Diagnostics ... 76802, 76805, 76810, 76811, 76812, 76815, 76816 ... removed deleted HCPCS code S3618 and added new CPT code 84704 effective 1/1 ...

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

Date added: February 4, 2012 - Views: 11

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YourCare Health Plan 2015 CPT Code/Prior...

76811 US Pregnant Uterus ... YourCare Health Plan 2015 CPT Code/Prior Authorization List Programs: Radiology, Cardiology, Radiation Therapy , and Sleep Management

https://www.yourcarehealthplan.com/Portals/0/2015%20CPT%20Code%20List%20for%20YourCare-For%20Clients.pdf

Date added: September 18, 2015 - Views: 4

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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 ... 76805, 76811, 76813, 76815-76818, 80055

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

Date added: November 2, 2011 - Views: 26

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Get Familiar with New OB Ultrasound Codes - HCPro

Get Familiar with New OB Ultrasound Codes ... This add-on code is used with 76811 for each additional ... code in question, as listed in the CPT

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

Date added: November 11, 2011 - Views: 14

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Electrical Stimulation (ES) and Electromagnetic...

Electrical Stimulation (ES) and Electromagnetic Therapy ... The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. This policy does not take

https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Medicare%20Advantage%20Reimbursement%20Policies/E/ESandEMTherapyTxWounds_NCD270-1_02042013.pdf

Date added: March 28, 2014 - Views: 1

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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: 13

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Download Anesthesia Cpt Code Changes For 2015...

Anesthesia CPT Code Changes for 2015 The American Medical Association recently published new, deleted and revised CPT® codes for use in 2015 coding and billing.

http://ahsrcm.com/assets/Anesthesia-CPT-Code-Changes-for-2015.pdf

Date added: February 9, 2015 - Views: 40

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Obstetrics/Gynecology Payment Policy - FCHP

Obstetrics/Gynecology Services Payment Policy Page 4 of 5 effective 05/01/2014 • 4 to 6 antepartum care visits only have been performed, bill CPT code 59425 –

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

Date added: March 27, 2014 - Views: 7

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SPECIALTY CPT CODES DESCRIPTION - 1199SEIU Funds

SPECIALTY CPT CODES DESCRIPTION ... Exclude code 77080 and 77081 ... 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815,

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

Date added: September 29, 2012 - Views: 48

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Radiology - Harvard Pilgrim

76811, 76812*,76815 ... 70010–76499 Diagnostic radiology/imaging CPT codes 74261 ... • 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: 13

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HEDIS

HEDIS Screening Codes Spirometry Testing in the Assessment and Diagnosis of COPD Codes Diagnosis Description ICD-9-CM Diagnosis Procedure Description CPT

https://provider.medmutual.com/pdf/Z7620.pdf

Date added: November 2, 2011 - Views: 10

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HIP RADIOLOGY PROGRAM CODE LISTS - EmblemHealth

with 76811; second study allowed if performed by a ... hip radiology program code lists cpt code procedure description 78226 liver function study 78227 hida scan

http://www.emblemhealth.com/~/media/Files/PDF/HIP_Radiologycode_List1.pdf

Date added: July 30, 2013 - Views: 30

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Obstetrics/Gynecology Payment Policy - FCHP

Obstetrics/Gynecology Payment Policy Page 1 of 5 ... (CPT code 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816, 76817, 76825, 76826, 76827, 76828, ...

http://www.fchp.org/providers/medical-management/~/media/Files/ProviderPDFs/PaymentPolicies/OBGYN_110115.ashx

Date added: August 30, 2015 - Views: 5

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76801, 76805, 76810, 76811, 76812, 76815 and 76817...

of claims billed for procedure codes 76801, 76805, 76810, 76811, 76812, 76815 and 76817. Affected claims were denied with Remittance Advice Details (RAD) code 9109: ...

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

Date added: February 16, 2013 - Views: 8

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Common ICD-9 Common CPT & Common Studies

Common ICD-9 Common CPT & Common Studies W W ... 76811 OB over 14 weeks ... PATIENT'S SYMPTOMS AND PREFERRED STUDY WITH ICD-9 AND CPT CODE

https://doshidiagnostic.com/wp-content/uploads/CLINICAL-BOOK-NY-12-17-12-16+4NC1.pdf

Date added: November 21, 2014 - Views: 9

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2015 OB Ultrasound Imaging Guidelines -...

CPT® (Current Procedural Terminology) ... White Paper on Ultrasound Code 76811. ... 2015 OB Ultrasound Imaging Guidelines

http://www.medsolutions.com/documents/guidelines/guideline_downloads/OBSTETRICAL%20ULTRASOUND%20IMAGING%20GUIDELINES.pdf

Date added: December 1, 2013 - Views: 28