CPT^® 76819, Under Diagnostic Ultrasound Procedures of the Pelvis Obstetrical

The Current Procedural Terminology (CPT^®) code 76819 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 a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.

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fetal biophysical profile

Hello! I have some questions regarding billing for a fetal biophysical profile (cpt code 76819) I have been getting paid for these, except my medical mutual. We are doing biophysical profiles on a fe... [ Read More ]

Ultrasounds 76816 and 76819

I have a provider that is doing an ultrasound 76816 for EFW and also doing a BPP for uterine size/date discrepancy. She is using the same report for both. Is that ok or does she need two separate repo... [ Read More ]

Coding BPP & NST

I work at maternal fetal medicine and what I learned in the past when there is cpt of 76819 26 done (readings) at the center and 59025-26 NST readings at the hospital, I code 7681826 only because an N... [ Read More ]

OB Ultrasound Coding

I am looking for help regarding when it is appropriate to code a Limited OB Ultrasound (76815) with a Bio Physical Profile (76819). I am code for the Professional Component (mod. 26). I am being tol... [ Read More ]

Coding BPP & NST

Patient comes in for a scheduled ultrasound with BPP (76816 & 76819) and appointment with provider to follow. After the appointment, she is sent to Labor and Delivery for an NST. The patient leaves ... [ Read More ]

OB Ultrasound code 76819 for an Amniotic Fluid Index only?

Thank you Stacey. I agree. But my boss kept on insisting to use 76819. So, can he still use 76816 with 76815, or should he just use 76816 when there is a follow-up ultrasound and an AFI?... [ Read More ]

OB Ultrasound code 76819 for an Amniotic Fluid Index only?

76819 is for a BPP without NST. ALL the elements needed for BPP are required to be documented to bill this code (breathing, gross and fine fetal movement, fluid) "The four elements that are scored fr... [ Read More ]

OB Ultrasound code 76819 for an Amniotic Fluid Index only?

Hi Everyone, I am a CPC-A extern working at an ultrasound center that performs ultrasounds mainly on pregnant patients. Here is the discussion that has come up recently (and kind of ongoing) : Can ... [ Read More ]

Billed together??

Can 76815 and 76818/76819 be billed together? I can't find NCCI edits for the codes together. Thanks!... [ Read More ]

Modifer

This is a maternal fetal medicine dr and her pt's are all high risk. There are different codes in which she uses. 76817, 76818, 76820 and 76819. They're done in the same day, but she's looking for dif... [ Read More ]

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