Wiki Ductus venosus ultrasound coding

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plarabee

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Our MFM department has started doing ultrasounds and doppler wave forms to evaluate the ductus venosus in the fetus. Is anyone out there doing these ultrasounds? If so, what code(s) are you using? Thanks for any input and feedback!

Pat Larabee, CPC
 
DV Doppler

Per the SMFM two years ago the only code that would be correct was the 76827/76828, at least until they get a new one approved.
Dana Davis CPC
 
ductous venous and uterine artery dopplers

Do you have that article from SMFM? We recently had MFM join our group and he is wanting us to start billing for Ductous venous dopplers and Uterine artery dopplers. If you have any advice on how to codes these I would be so appreciative because this is all so new to me!
 
76827 /28 are part of fetal echocardiograms. The fetal ductus venosus measurement is part of the fetal dopplers 76820/796821 and is not billed separately. This is different from a fetal umbilical vein doppler (also called umbilical varix), which is an unlisted code 76999.
 
DV Doppler

Yes I do have the article, MFM coding is very different from other OB and general coding.


Jamiemrph485 said:
Do you have that article from SMFM? We recently had MFM join our group and he is wanting us to start billing for Ductous venous dopplers and Uterine artery dopplers. If you have any advice on how to codes these I would be so appreciative because this is all so new to me!
Click to expand...
 
Cmama12 said:
76827 /28 are part of fetal echocardiograms. The fetal ductus venosus measurement is part of the fetal dopplers 76820/796821 and is not billed separately. This is different from a fetal umbilical vein doppler (also called umbilical varix), which is an unlisted code 76999.
Click to expand...
Is this still the current coding rule for billing a fetal ductus venosus? I am having trouble finding any articles related to billing for evaluation of the DV. Any reputable articles or guidance would be greatly appreciated!
 
ddavis024 said:
DV Doppler

Per the SMFM two years ago the only code that would be correct was the 76827/76828, at least until they get a new one approved.
Dana Davis CPC
Click to expand...
Per a recent presentation by Dr. Copel who served on the SMFM coding committee, the DV doppler is a freebie - not coded separately. In addition, SMFM recommends against routine use of ductus venosus dopplers, middle cerebral artery dopplers, or uterine artery Doppler studies in early or late onset FGR as studies have not been found to lead to improved accuracy over umbilical artery dopplers. This opinion will also be known by payers so may have an impact in reimbursement should you try to bill for this separately.
 
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