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Coding for multiple ultrasounds - CODING AND...

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Coding for multiple ultrasounds - CODING AND...

The CPT code descriptor for 76816 includes exam ples of ... code 76811 includes all the components of the ... CPT instructions state that both serv ices can ...

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

Date added: November 27, 2014 - Views: 1

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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: 79

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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: 91

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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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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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Changes to Reimbursement Policies - Medicare

Reimbursement for a Detailed OB Ultrasound (CPT codes 76811 and 76812) ... new policy supported by HCPCS codes (J code) and ICD-9 codes addressing

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 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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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: 6

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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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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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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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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: 33

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Obstetrical Services Policy (R0064) - UHCCommunit

package code. The Current Procedural Terminology ... (CPT codes 76801, 76802, 76805, 76810, 76811 ... Diagnosis Code List.pdf. 2015 United Healthcare Community and ...

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

Date added: October 29, 2013 - Views: 10

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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: 114

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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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Coding in Ob Sonography - Meetingpro.info

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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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.

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

Date added: July 31, 2015 - Views: 1

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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: 75

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Provider Type 74 Billing Guide - Nevada Medicaid...

Medicaid provides reimbursement to nurse midwives for pregnancy related services such ... CPT code 58565 does not require prior ... 76811 Fetal and maternal ...

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

Date added: March 21, 2015 - Views: 1

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

Current Procedural Terminology (CPT) codes, ... Modifier 59 may be reported with CPT code 75710 if a diagnostic angiography has not

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

Date added: June 21, 2012 - Views: 127

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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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Download Cpt Code Reference Sheet Hca Va...

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: 22

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Download 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: 1

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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: 13

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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: 14

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Ultrasound Reimbursement Guide 2013 - Analogic...

CPT Code CPT Code Description Global Payment Professional Payment ... 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal

http://www.ultrasonix.com/webfm_send/907

Date added: July 10, 2013 - Views: 2

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CONFIDENT CODING FOR OB/GYN

CONFIDENT CODING FOR OB/GYN CPT Description of Global OB care includes: ... 4-6 antepartumvisits are billed using CPT code 59425

http://djk9qtinkh46n.cloudfront.net/e7fe2e86-ee05-475b-ac2c-bdc28fea95c1/be5d6399-19fe-487b-8494-758a2e626c0d/15deaa13-f2c0-4887-9831-7e4e034eb21d.pdf

Date added: February 22, 2012 - Views: 61

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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

https://www.caresource.com/documents/oh-p-260_provider_coding_and_reimbursement_info-pdf/

Date added: January 8, 2013 - Views: 13

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Nuchal Translucency Reimbursement

Nuchal Translucency Quality Review ... 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: 2

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Obstetrical Ultrasonography - OXHP

CPT Code 76811: will be reimbursed ... White paper on ultrasound code 76811. Announcements. Washington, DC: SMFM; May 24, 2004. Available at: www.smfm.org. 7.

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

Date added: June 28, 2013 - Views: 1

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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: 4

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Modifier Guidelines - Health Insurance for North...

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 ...

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

Date added: February 1, 2012 - Views: 14

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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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procedure codes - eMedNY

radiology technician who performs the ... NCCI associated modifiers are recognized for NCCI code pairs ... Codes 76811 and 76812 include all elements of codes ...

http://www.emedny.org/ProviderManuals/Physician/PDFS/Physician%20Procedure%20Codes%20Sect4.pdf

Date added: March 4, 2012 - Views: 15

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HEDIS Quick Reference Guide - Health First

99382, 99383, 99392, 99393: Adolescent Well-Care Visits: ... Part B: Any one code. CPT Codes 76801, 76805, 76811, 76813, 76815 -76818, 80055 ICD-9-CM Diagnosis :

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

Date added: October 5, 2012 - Views: 3

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APPLICABLE CPT CODES FOR FETAL MONITORING

APPLICABLE CPT CODES FOR FETAL MONITORING ... addition to code for prolonged physician service) $88.29 $88.29 59025 Fetal non-stress test $43.28 $43.28

http://www.medicalresources.com/pdf/Nicolet-APM-APM2-CPT-Codes.pdf

Date added: March 24, 2013 - Views: 14

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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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REIMBURSEMENT - OBG Management

The CPT code you indicated, ... with 76811 (Ultrasound, pregnant uterus, ... accepted interpretations of CPT-4 and ICD-9-CM coding.

http://www.obgmanagement.com/fileadmin/obg_archive/pdf/1805/1805OBGM_Adviser5.pdf

Date added: July 8, 2014 - Views: 1

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NOTE: Should you have landed here as a result of a...

76811 . 3 *Diagnostic Radiology or TC . ... (CPT) updated CPT Code 76880 was deleted effective January 1, 2011. Added CRT-R credentialing as another option for a

http://www.palmettogba.com/Palmetto/Providers.Nsf/files/IDTF_TABLE_CPT_CODES_76506-77059_010112.pdf/$File/IDTF_TABLE_CPT_CODES_76506-77059_010112.pdf

Date added: March 8, 2012 - Views: 6

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Download Provider Manual Billing Section Ibx - 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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BlueCross BlueShield of Tennessee, Inc. (BCBST)

CPT ® is a registered ... and 76811. Consistent with ACOG ... BlueCross BlueShield of Tennessee is an Independent Licensee of the BlueCross BlueShield Association ...

http://www.bcbst.com/providers/BlueAlert/2011/December%202011.pdf

Date added: April 21, 2012 - Views: 7

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OB Ultrasound Quick Reference Guide For Ordering...

registration if CPT code billed is ¾ 76801 or 76817 for the first trimester. 76805 or 76811 for second trimester ... Quick Reference Guide for Ordering Physicians 5

http://hometownhealth.wikispaces.com/file/view/OBUS-Ordering-physicians-QRG.pdf

Date added: March 16, 2014 - Views: 1

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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: 1

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

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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OB Coding – The Global Package & Beyond

OB Coding – The Global Package & Beyond Kerin Draak, MS, WHNP-BC, ... • CPT code 99401CPT code 99401-99404 ... – 76811: fetal and maternal ...

http://aapcperfect.s3.amazonaws.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/1ed43b97-1be4-4129-b20d-001d3f82fb18/da763952-b630-4e2b-bfd6-ca9ea1943376.pdf

Date added: November 17, 2011 - Views: 28