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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 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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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 Policy Overview

Members are covered for one routine prenatal ultrasound per pregnancy — CPT code 76801 or ... 76817, and 76811. Not all diagnosis codes are acceptable and ...

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

Date added: August 4, 2013 - Views: 1

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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: 3

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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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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: 9

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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. - 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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Obstetrical Ultrasound Policy

UnitedHealthcareCommunity Plan reimbursement policies uses Current Procedural Terminology ... 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: 3

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Anthem Central Claim Edit#300

Anthem Blue Cross and Blue Shield Central Region Clinical Claim Edit ... inappropriate interpretation of CPT code definition) ... code 76811. Therefore, if codes ...

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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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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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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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: 96

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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: 118

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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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Obstetrical Ultrasonography - OXHP

Listing of a service or device code in this policy does not imply that the service ... correct CPT code (76815 or 76816) CPT Code 76811 will be reimbursed two times ...

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

Date added: June 28, 2013 - Views: 1

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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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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: 128

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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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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: 78

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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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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

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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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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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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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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 ...

https://www.healthplanofnevada.com/documents/provider%20files/Ultrasound%20Exam%20for%20Pregnancy%20OBG020.pdf

Date added: October 26, 2011 - Views: 32

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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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Prenatal Ultrasound Coverage and Coding - Anthem

76816 and 76817 for outpatient prenatal ultrasounds for our Anthem HealthKeepers Plus members. Any CPT ... 2014, additional ultrasounds for procedural codes 76811 ...

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

Date added: March 31, 2015 - Views: 1

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

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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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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SPECIALTY CPT CODES DESCRIPTION - 1199SEIU Funds

SPECIALTY CPT CODES DESCRIPTION Primary Care Physicians: ... Exclude code 77080 and 77081 ... 76801, 76802, 76805, 76810, 76811, 76812, 76813, ...

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

Date added: September 29, 2012 - Views: 31

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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: 34

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Maternal and Fetal Diagnostics - Blue Cross and...

Applicable codes: 76801, 76802, 76805, 76810, 76811, 76812, 76815, 76816, 76817, 76818, 76819 ... removed deleted HCPCS code S3618 and added new CPT

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

Date added: September 12, 2012 - Views: 2

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Modifier Guidelines - Health Insurance for North...

be performed bilaterally or for which the base CPT code signifies a bilateral procedure. ... Reimbursement for a procedure code/modifier combination will be considered

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

Date added: December 29, 2011 - Views: 16

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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...

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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Obstetrics/Gynecology Payment Policy

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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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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Coding the Ob scan

Code your scans more accurately! 2. Understand new CPT & ICD codes! Conflicts! ... 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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Obstetrical Policy - OXHP

Obstetrical Policy: Reimbursement Policy (Effective04/01/2015 ) 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: 5

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Provider Manual: Billing section - Independence...

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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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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Commonwealth of Massachusetts Executive Office of...

Centers for Medicare & Medicaid Services ... 76811 76812 76813. Commonwealth of ... Medical Association’s latestCurrent Procedural Terminology (CPT) code book and ...

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

Date added: September 26, 2012 - Views: 5

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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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The American College of Radiology General...

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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Medical Fee Guideline - Texas Department of...

Texas Labor Code (Texas Workers’ Compensation Act) (Law) ... Physicians’ Current Procedural Terminology (CPT code book) and are also available through commercial

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

Date added: November 23, 2011 - Views: 62

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Department of Radiology US PROCEDURES - Orange

department of radiology us procedures name cpt code ob each addtl gestation>=14w0d 76810 ob fetal nuch transluc ea add 76814 ob fetal nuchal translucency 76813

http://www.sjo.org/documents/Radiology_and_Imaging/Ultrasound-Procedures.pdf

Date added: December 4, 2012 - Views: 11

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Radiology - Harvard Pilgrim Health Care

- 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: 13

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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: 9