Hi David,
If AMA or obesity are present, these would be indications for a detailed fetal anatomy survey 76811 (per national guidelines).
Fadi
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Fadi BSAT, MD
Past Chair, SMFM Coding Committee
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Original Message:
Sent: 07-16-2021 17:36
From: David Jones
Subject: basic anatomy 76805
Hi,
I think since 76805 are generally for screening, the appropriate codes are the screening codes. You could add a secondary diagnosis (eg, AMA, obesity, etc) if appropriate, but they are screening and so I can't see point in using a known/suspected anomaly code when there really isn't one. That is what our office does without any issues.
Best regards,
David C Jones, MD
Director, University of Vermont Medical Center Fetal Diagnostic Center
Professor, Obstetrics, Gynecology & Reproductive Sciences
University of Vermont
Dept of Obstetrics, Gynecology & Reproductive Sciences
Division of Maternal-Fetal Medicine
(802) 847-5698
Original Message:
Sent: 7/16/2021 1:38:00 PM
From: Rachel Leifer
Subject: basic anatomy 76805
hi
just want to clarify on billing for routine anatomy scan for normal pregnancy without any current or history of high risk condition. Have been coding Z36.89, Z36.3 for 76805. MFM wants to use O35.8XX0 for all routine 76805's. Is it correct?