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OB Ultrasound code 76819 for an Amniotic Fluid Index only?

Hi Everyone,

I am a CPC-A extern working at an ultrasound center that performs ultrasounds mainly on pregnant patients.

Here is the discussion that has come up recently (and kind of ongoing) :

Can code 76819, Fetal biophysical profile, without non-stress testing, be used if only an Amniotic Fluid Index was done, and not the biophysical profile, as well as a follow-up ultrasound, code 76816? I pointed out to the technologist that in the CPC book, it says under code 76819 that "for amniotic fluid index without non-stress test, use 76815". But he says that you can’t code 76815, a limited, with a more complete code of 76816. So he uses 76819 instead to represent amniotic fluid index only, along with 76816.

Does that statement under code 76819 mean that when one only does an amniotic fluid index and nothing else, you can use 76815?

Any input on this would be greatly appreciated!

Thank you!

Maureen Baetz, CPC-A
Batavia, IL

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