Wiki OB Ultrasounds

[samantha Martel]

I am under the understanding that complete OB ultrasounds are only done twice, in the first trimester and again at the 20 week anatomy visit. If the provider at a visits suspects an issue and then at the next visit does an ultrasound to check for growth it would be a follow up ultrasound OR can they code a complete ultrasound as long as they hit all the components? We billed a complete ultrasound after the initial 20 week visit and Cigna is denying the claim.

 

[RFoster1]

Carriers typically have their own policies surrounding OB US. Have you looked on Cigna's website to see if they have a policy you can reference? What state are you in?

 

[RFoster1]

Maybe this will help.

https://cignaforhcp.cigna.com/publi...ine_ultrasound_use_in_maternity_care_3d4d.pdf

Let me know if you are unable to access the link and I'll try to attach the document.

 

[samantha Martel]

I wasn't able to open the link, we are in Vermont. But u think we can we just might have a problem with the insurance's covering them?

 

[RFoster1]

Yes, you will have to follow the carrier's medical policy.

I attached Cigna's policy regarding prenatal ultrasounds.