Required components between 76805 AND 76811

Ultrasound Foetus

                                             

                            

76811 is a speciality code it is not for the routine check-up. It is for special circumstances like suspected fetal anatomic, genetic abnormality exp: (previous Anomalous foetus normal scan this pregnancy etc), or increased risk for fetal abnormalities such as (advanced maternal age diabetes fetus foetus at risk due to teratogen or genetic abnormal prenatal screening). Exam performed by special expertise in fetal anomaly detection and counting.

The American Institute of ultrasound in medicine(AIUM) and the society of maternal-fetal Medicine (SMFM), American College of obstetricians and gynaecologists, American College of osteopathic obstetrician and gynaecologist, American College of radiology, The society of diagnostic medical sonography and The society of radiologist in ultrasound proposed the appropriate indication, components and qualification for more information for performing detailed fetal anatomic ultrasound examinations for 76811 are. 

1-Previous foetus or child with congenital genetic or chromosome abnormality

2-No not suspected fetal anomaly or non-group disorder in the current pregnancy

3-Foetus at increased risk for the congenital anomaly-

• Maternal traditional diabetes for gestational diabetes diagnosed before 24 weeks gestation
• Pregnancy conceived by assisted reproductive technology
• Maternal BMI and greater or equal to 35 kg/m2
• Multiple gestations
• Abnormal maternal serum analytes including alpha-fetoprotein level and unconjugated estriol
• Teratogen exposure
• First-trimester nuchal translucency measurement>or =3.0mm
• Foetus at increased risk for genetic or chromosomal abnormality such as

1. Parental carrier of chromosomal or genetic abnormality
2. Maternal age,>or 35 years at delivery
3. Positive screening test for aneuploidy, including NIPT.
4. Soft aneuploidy marker noted on Ultrasound
5. First-trimester nuchal translucency,>or=3.0mm

4-Other conditions affecting the foetus including:-

• Congenital infection
• Maternal drug dependence
• Iso immunization
• Oligohydramnios
• Polyhydramnios

Required components between 76805 AND 76811
76805	76811
“routine screening ultrasound” at approximately 16-20	76811 requires all of the components of 76805, plus the following.
weeks gestation on a low-risk pregnancy.	asterisk (*) are performed when medically indicated.
Head and neck:	Head and neck:
Lateral cerebral ventricles	Third ventricle and fourth ventricle*
Choroid plexus	Corpus callosum*
Midline falx	Integrity and shape of cranial vault
Cavum septi pellucidi	Brain parenchyma
Cerebellum	Neck
Cisterna magna
Face:	Face:
Upper lip	Profile
	Coronal face (nose/lips/lens*)
	Palate* maxilla, mandible, and tongue*
	Ear position and size*
	Orbits*
Chest:	Chest:
Cardiac activity	Aortic arch
Four chamber view	Superior vena cava/Inferior vena cava
Left ventricular outflow tract	Three vessel and trachea view
Right ventricular outflow tract	Lungs
	Integrity of diaphragm
	Ribs*
Abdomen:	Abdomen:
Stomach (presence, size, and situs)	Bowel – small and large*
Kidneys	Adrenal glands*
Urinary bladder	Gallbladder*
Cord insertion site into fetal abdomen	Liver
Umbilical cord vessel number	Renal arteries*
	Spleen*
Spine:	Spine:
Cervical	Shape and curvature
Thoracic
Lumbar
Sacral spine
Extremities:	Extremities:
Legs	Number: Architecture and position
Arms	Hands
	Feet
	Digits: Number and position*
Placenta:	Placenta:
Placenta location	Masses
Relationship to internal os	Placental cord insertion
Appearance	Accessory/Succenturiate lobe with location of connecting vascular supply to primary placenta*
Placental cord insertion (when possible)
Standard evaluation:
Fetal number
Presentation
Qualitative or semi-qualitative estimate of amniotic fluid
Biometry:	Biometry:
BPD	Cerebellum*
Head circumference	Inner and outer orbital diameters*
Femur length	Nuchal thickness (16-20 weeks)
Abdominal circumference	Nasal bone measurement (15-22 weeks)
Fetal weight estimate	Humerus*
Maternal anatomy:	Ulna/Radius*
Cervix (transvaginal when indicated)	Tibia/Fibula*
Uterus
Adnexa

Note: If any of the required components not visible, the circumstances must clearly mention in a report to requirements or billing the services.

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