Use 76811 for diagnostic U/S, four other codes for screening

Why This Topic Matters

Obstetric ultrasound claims are frequently reviewed for medical necessity, documentation, and policy compliance. This article helps readers understand the broader coding and payer context for prenatal ultrasound services and related appeals.

Article Sections

1. Obstetric ultrasound coding distinctions

   Discusses how screening and more detailed obstetric ultrasound services are framed in the CPT obstetrical ultrasound section. The section focuses on documentation and service differentiation in prenatal imaging.

2. ACOG takes aim at first trimester ultrasound denials

   Summarizes ACOG’s response to payer denials involving medically indicated first-trimester obstetric ultrasounds. It also references appeal support and practice management assistance resources.

3. United Healthcare revises ultrasound policy

   Describes a UnitedHealthcare policy update affecting obstetric ultrasound reimbursement and related pregnancy diagnosis coding. The section addresses covered diagnosis categories, claim handling, and subsequent ultrasound policy considerations.