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The Mysterious World of OB Ultrasound Coding -...

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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: 105

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Coding for multiple ultrasounds - CODING AND...

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: 18

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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: 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: 11

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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: 8

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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: 105

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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: 13

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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: 15

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Anthem Central Claim Edit#300

Based on the 2003 CPT manual, use code 76812 in conjunction with 76811. Therefore, if 76811 and 76812 are submitted together--both reimburse separately.

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

Date added: July 31, 2015 - Views: 9

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Musculoskeletal Ultrasound Coding & Billing -...

10i CPT Ultrasound Coding and Billing Page 1 of 2 Rev 03/12 Musculoskeletal Ultrasound Coding & Billing Even though the procedure was routinely paid in previous ...

http://www.amdxtest.com/Files/10K%20CPT%20Ultrasound%20Coding%20and%20Billing.pdf

Date added: November 2, 2012 - Views: 49

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Obstetrical Ultrasound Policy -...

Obstetrical Ultrasound Policy Policy Number 2016R7112C ... (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: 12

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Modifier 59 Article: Proper Usage Regarding...

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: 179

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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: 8

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

same CPT code. The components of ... a CPT Change for Obstetric Sonography Table 1.New Obstetric Ultrasound Coding System ... The new 76811 code is not intended for use

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

Date added: April 1, 2012 - Views: 17

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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: 143

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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: 28

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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: 13

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Basic Versus Detailed Sonography -...

The CPT code 76811 describes an examination including the compo-nents of the basic examination as well as detailed anatomic evaluation of the fetal brain, ...

http://abortiondocs.org/wp-content/uploads/2014/03/Chasen-Stephen-Basic-Versus-Detailed-Sonography.pdf

Date added: November 7, 2015 - Views: 1

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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: 7

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Coding Ob sono with ICD-10 - cmebyplaza.com

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

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

Date added: February 28, 2014 - Views: 3

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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: 17

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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: 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: 10

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Prenatal and Postpartum Care (PPC)

Prenatal and Postpartum Care ... Part B: Any one code. CPT: 76801, 76805, 76811, 76813, 76815-76818, 80055 ICD-9 CM Procedure: 88.78 Part C: One of the following.

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

Date added: December 28, 2012 - Views: 21

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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: 9

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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: 3

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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: 5

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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: 14

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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: 20

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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: 12

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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: 15

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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: 2

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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: 97

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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: 6

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Medical Fee Guideline - Texas Department of...

Medical Fee Guideline for Workers’ Compensation Specific Services ... If a valid CPT code does not have a relative value assigned by CMS, or a reimbursement amount

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

Date added: November 23, 2011 - Views: 77

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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: 13

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MRI - hcavaopimaging.com

CPT Code Reference Sheet Not all studies are performed at each location ... 76536 US Thyroid, 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: 65

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Obstetrics/Gynecology Payment Policy - fchp.org

Obstetrics/Gynecology Payment Policy Page 4 of 5 Effective 07/01/2016 CPT code 59409 for vaginal delivery. CPT code 59514 for C-section delivery.

http://www.fchp.org/providers/medical-management/~/media/Files/ProviderPDFs/PaymentPolicies/ObstetricsGynecologyPaymentPolicy_072016.ashx

Date added: April 28, 2016 - Views: 1

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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: 19

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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: 11

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2013 CPT Code and Physician Work RVU Changes -...

1 2013 CPT Code and Physician Work RVU Changes Relevant to Neuroradiology The 2013 CPT Changes and Relative Value Units (RVUs) have been released with an effective ...

http://www.asnr.org/sites/default/files/hpc/2013%20CPT%20and%20Physician%20Work%20RVU%20Changes%20for%20Neuroradiology.pdf

Date added: April 2, 2013 - Views: 67

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Obstetrical Policy - Oxford Health Plans

Obstetrical Policy: ... global OB package code. The Current Procedural Terminology ... (CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76813, ...

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

Date added: May 18, 2013 - Views: 22

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2015 OB Ultrasound Imaging Guidelines - Med...

ABBREVIATIONS and GLOSSARY for OB ULTRASOUND IMAGING GUIDELINES ... White Paper on Ultrasound Code 76811. May 24, ... CPT®76811 and CPT ...

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

Date added: December 1, 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: 6

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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: 17

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CPT Code Changes for 2014 RADIOLOGY - McKesson

CPT Code Changes for 2014 RADIOLOGY Myra Blankenship, CPC, CIRCC Cathy Woodall, CHC, CPC ... on July 2013 and are now listed in the 2014 CPT code book.

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

Date added: February 8, 2014 - Views: 96

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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.

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

Date added: December 29, 2011 - Views: 21

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Maternity Care Confirmation to Post - AAPC

Maternity Care Confirmation to Post Partum ... Diagnosis code depends on documentation. 6 Hospital Admissions ... 76811 •MFM scan, L2 ...

http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/8521a02e-1058-40d3-ae7f-f8dfcad0b899/7f215658-6476-495a-a5bf-8ca73656fd0a.pdf

Date added: November 19, 2013 - Views: 4

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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: 47