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Posted By jamie on 06-08-2018, 12:46:04 in Ob-Gyn
In the ultrasound report what is required to be able to bill the 76821, is documenting the peak systolic velocity sufficient?
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Posted By Melanie Witt on 06-08-2018, 17:07:20
Here is the description of work for the typical patient as submitted to CPT:

A real time ultrasound is performed to locate the fetal head. In addition, the anterior wing of the sphenoid bone is identified. Color flow Doppler is used to image the Circle of Willis. A pulsed Doppler gate is placed over the middle cerebral artery near its origin from the Circle of Willis, and transducer probe orientation or gate orientation is adjusted to ensure angle of insonance is close to zero degrees. Two to four measurements are then obtained and the highest velocity is recorded. A comparison of peak systolic velocity is performed to published gestational age-specific norms. The patient is informed of the results. The results are then communicated, and recommendations made to the referring physician. The written report is then prepared and signed.

So yes, peak systolic velocity is sufficient as long as the rest of the requirements are met.
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