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The CPT® Code 76814 refers to a specific ultrasound procedure performed on a pregnant uterus during the first trimester. This procedure involves real-time imaging with documentation, focusing on the measurement of fetal nuchal translucency. The ultrasound can be conducted using either a transabdominal or transvaginal approach, depending on the clinical situation and the preference of the healthcare provider. Real-time ultrasound technology allows for the visualization of both static images and dynamic movement, providing a comprehensive view of the fetus and surrounding structures. Nuchal translucency is defined as the measurement of subcutaneous fluid accumulation in the neck region of the fetus, which is assessed through ultrasound. The measurement is taken from the maximum thickness of the sonolucent area located between the inner surface of the fetal skin and the outer surface of the soft tissue that covers the cervical spine or occipital bone. An increased measurement of nuchal translucency during the first trimester can indicate potential chromosomal abnormalities and genetic disorders, including but not limited to Down syndrome, trisomy 13 or 18, congenital heart defects, and skeletal dysplasias. It is important to note that CPT® Code 76814 is used specifically for each additional gestation beyond the first, which is coded separately as CPT® Code 76813.
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The ultrasound procedure described by CPT® Code 76814 is indicated for the assessment of fetal nuchal translucency during the first trimester of pregnancy. This measurement is crucial for identifying potential risks associated with chromosomal abnormalities and genetic conditions. The following conditions may warrant the performance of this procedure:
The procedure for CPT® Code 76814 involves several key steps to ensure accurate measurement of fetal nuchal translucency. The following procedural steps are outlined:
After the completion of the ultrasound procedure, the patient may be advised on any necessary follow-up based on the results of the nuchal translucency measurement. If the measurement indicates increased translucency, further diagnostic testing may be recommended to assess the risk of chromosomal abnormalities. The patient is typically informed about the results during the follow-up appointment, and any additional care or monitoring will be discussed as needed. There are generally no specific post-procedure restrictions, and patients can resume normal activities unless otherwise directed by their healthcare provider.
| Short Descr | OB US NUCHAL MEAS ADD-ON | Medium Descr | US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION | Long Descr | Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 03 - Procedure must be performed under the personal supervision of physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I3B - Echography/ultrasonography - abdomen/pelvis | MUE | 2 | CCS Clinical Classification | 197 - Other diagnostic ultrasound |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 76813 | Female Edit MPFS Status: Active Code APC Q1 ASC N1 PUB 100 CPT Assistant Article Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| 2007-01-01 | Added | First appearance in code book in 2007. |
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