pregnancy ultrasounds
ICD-10-CM Diagnosis Code O28.3 Abnormal ultrasonic finding on antenatal screening of mother 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Maternity Dx (12-55 years)
ICD-10 indications for the First Trimester Detailed Obstetric Ultrasound. INDICATION CODE. Abnormal biochemical finding on antenatal screening of mother O28.1. Abnormal chromosomal and genetic finding on antenatal screening of mother O28.5. Abnormal radiological finding on antenatal screening of mother O28.4.
Oct 01, 2021 · Abnormal ultrasonic finding on antenatal screening of mother. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Maternity Dx (12-55 years) O28.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O28.3 became effective on October 1, 2021.
Oct 01, 2021 · The 2022 edition of ICD-10-CM Z36.87 became effective on October 1, 2021. This is the American ICD-10-CM version of Z36.87 - other international versions of ICD-10 Z36.87 may differ. Z36.87 is applicable to maternity patients aged 12 - 55 years inclusive. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a …
CPT Code | Common Modifier(s) | CPT Description |
---|---|---|
76705 | -26 | Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) |
The American Institute for Ultrasound Medicine, the Society for Materanal Fetal Medicine, and other societies (Wax, et al., 2015) recommended a threshold BMI of greater than or equal to 30 kg/m 2 for performing a detailed fetal anatomic ultrasound for pregnancy complicated by obesity.
Indications for a first-trimester ultrasound (performed before 13 weeks and 6 days of gestation) include: As adjunct to chorionic villus sampling, embryo transfer, or localization and removal of an intra-uterine device. To assess for certain fetal anomalies, such as anencephaly, in patients at high risk.
Policy. Aetna considers ultrasounds not medically necessary if done solely to determine the fetal sex or to provide parents with a view and photograph of the fetus. Aetna considers a fetal ultrasound with detailed anatomic examination medically necessary for the following indications: To evaluate the fetus for amniotic band syndrome (also known as ...
ACOG recommended that in the absence of specific indications, the optimal time for an obstetric ultrasound examination is between 18 to 20 weeks of gestation because anatomically complex organs, such as the fetal heart and brain, can be imaged with sufficient clarity to allow detection of many major malformations.
The degree of SGA is associated with the likelihood of FGR; 30% of infants with a birth-weight of less than 10th centile are thought to be FGR, while 70% of infants with a birth-weight less than third centile are thought to be FGR. Critically, SGA is the most significant antenatal risk factor for a stillborn infant.
Krishnan and colleagues (2020) examined the concordance between 2nd-trimester anatomic US and fetal echocardiography in detecting minor and critical CHD in pregnancies meeting American Heart Association (AHA) criteria. These investigators carried out a retrospective cohort study of pregnancies in which a 2nd-trimester fetal anatomic US examination (18 to 26 weeks) and fetal echocardiography were conducted between 2012 and 2018 at the authors’ institution based on AHA recommendations. Anatomic US studies were interpreted by maternal-fetal medicine specialists and fetal echocardiographic studies by pediatric cardiologists. The primary outcome was the proportion of critical CHD (CCHD) cases not detected by anatomic US but detected by fetal echocardiography. The secondary outcome was the proportion of total CHD cases missed by anatomic US but detected by fetal echocardiography. Neonatal medical records were reviewed for all pregnancies when obtained and available. A total of 722 studies met inclusion criteria. Anatomic US and fetal echocardiography were in agreement in detecting cardiac abnormalities in 681 (96.1%) studies (κ = 0.803; p < 0.001). The most common diagnosis not identified by anatomic US was a ventricular septal defect, accounting for 9 of 12 (75%) missed congenital heart defects. Of 664 studies with normal cardiac findings on the anatomic US examinations, no additional instances of CCHD were detected by fetal echocardiography. No unanticipated instances of CCHD were diagnosed postnatally. The authors concluded that with current AHA screening guidelines, automatic fetal echocardiography in the setting of normal detailed anatomic US findings provided limited benefit in detecting congenital heart defects that would warrant immediate post-natal interventions. These investigators stated that more selective use of automatic fetal echocardiography in at-risk pregnancies should be explored.
According to the Society for Maternal Fetal Medicine (SMFM, 2012), a detailed fetal anatomic ultrasound (CPT code 76811) includes all of the components of the routine fetal ultrasound (CPT code 76805), plus a detailed fetal anatomical survey. The SMFM (2012) has stated that the following are fetal and maternal anatomical components for the detailed fetal anatomic ultrasound (CPT code 76811). Not all components will be required. Components considered integral to the code are marked with an asterisk:#N#Footnote2#N#*Component considered integral to the CPT code 76811.
The 2021 edition of ICD-10-CM Z36 became effective on October 1, 2020.
Z36 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2021 edition of ICD-10-CM Z36 became effective on October 1, 2020. This is the American ICD-10-CM version of Z36 - other international versions of ICD-10 Z36 may differ. Type 1 Excludes.
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed.