CPT^® 76811, Under Diagnostic Ultrasound Procedures of the Pelvis Obstetrical

The Current Procedural Terminology (CPT^®) code 76811 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Ultrasound Procedures of the Pelvis Obstetrical.

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Summary

The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic fluid levels, the location of the placenta, and size of the ventricles.

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Ultrasounds - gyne vs OB

[QUOTE="nielynco, post: 510198, member: 10563"] Quite right Tracy. In fact, the AMA CPT Assistant had an article a few years back (about an ultrasound performed in the ER) that supports this. You co... [ Read More ]

Ultrasound obstetrical

[QUOTE="kellyB50, post: 505414, member: 448133"] Can you bill a 76811 and a 76815 same day if performed with a modifier 59 to be paid or is this considered a bundled service and one or the other is to... [ Read More ]

Ultrasound obstetrical

Can you provider more information? Did the 76815 result in the 76811 being performed? Why were there two on same day?... [ Read More ]

Ultrasound obstetrical

Can you bill a 76811 and a 76815 same day if performed with a modifier 59 to be paid or is this considered a bundled service and one or the other is to be used... [ Read More ]

down coding from 76811 to 76805 for MFM

Hi, 76811 is for a high risk patient. Although that may qualify a patient to see MFM and is considered a high risk problem, I would still code 76805 (especially if Dr is ordering that). How I simpl... [ Read More ]

down coding from 76811 to 76805 for MFM

I have a question regarding coding 76811 versus 76805 for MFM. there has been question in our clinic.... 1) For our clinic, being a specialty clinic, we automatically perform a level II full fetal ana... [ Read More ]

yeast infection during pregnancy

I pulled this from UHC Community policy because it mentions UTIs as being unrelated, which is a similar condition. Just to give a general idea.. B. Services Excluded from the Global OB Package Per C... [ Read More ]

BILLING ANTEPARTUM FOR AN INS CHANGE

[QUOTE="Cmama12, post: 485640, member: 248812"] It is my understanding that with an insurance change, global codes should not be used, even with 7+ visits. That being said, we discovered at my organi... [ Read More ]

BILLING ANTEPARTUM FOR AN INS CHANGE

It is my understanding that with an insurance change, global codes should not be used, even with 7+ visits. That being said, we discovered at my organization that coders were not on the same page, wi... [ Read More ]

BILLING ANTEPARTUM FOR AN INS CHANGE

[B][SIZE=5][COLOR=rgb(184, 49, 47)]QUESTION #1[/COLOR]:[/SIZE][/B][SIZE=5] Am I billing this correctly?? An Ob patient had [B]Uhc[/B] ins ([B]term date 09/25/2020[/B]) and was seen on the following d... [ Read More ]

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