Hello
Yes, we have 2 white papers on this topic to help with coding under coding resources, white papers
They were published last year 6/2021 and 10/2021
we are suggesting the 76801 + 76813 - as a stop gap.
There is also a cheat sheet/table that was published in JUM that gives you the ICD-10 codes (that's under coding resources too) for performance of this study
As to your other question regarding time line.... We have been working with ACOG since 2017 to get a new code.
Its a long process that also requires collaboration with other societies that perform/educate in the arena of first trimester imaging such as the SRU, ACR, AIUM and PQF, and also involves some potential risk of impacting other imaging codes - particularly codes that deal with fetal anatomy - (76805, 76811, 76816). So it is not as easy as 'apply for a new code', it is likely that RVUs for all fetal anatomy codes will be reevaluated and reassigned. This could be a good thing.... or have grave potential for reduced reimbursement. We are trying to balance those risks and collaborate with all the societies involved.
Best,
Vanita
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Vanita Jain, MD
Chair, SMFM Coding Committee
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Original Message:
Sent: 05-06-2022 19:04
From: Kimberly Ma
Subject: Detailed first trimester ultrasound
I am curious about those doing the detailed first trimester ultrasound (unassigned CPT). Are most doing the combined 76801 AND 76813? Or 76999?
Any insight on the timeline for a CPT for detailed first trimester ultrasound?
Thanks!
https://www.smfm.org/coding/white-papers/221-billing-scenarios-for-imaging-and-aneuploidy-screening-in-the-first-trimester-replaces-oct-2017-white-paper
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Kimberly Ma
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