When and how are Ductus Venosus, Ductus Arteriosus and PR Intervals reported?
The SMFM Coding Committee frequently receives inquiries on when and how to bill for Doppler of the ductus venosus, Doppler of the ductus arteriosus, and PR Interval measurement. Below are the suggested ways to report these services:
Ductus venosus Doppler: This is billable when sampled as part of a fetal echocardiogram study. Initial evaluation is reported as 76827; follow-up as 76828. Ductus Venosus Doppler is not billed when it is the sole assessment performed.
Ductus arteriosus Doppler: This is often performed after another ultrasound study, so it is billed as 76828. If performed as part of an initial fetal echocardiogram evaluation, it is billed as 76827 then, and 76828 on subsequent studies.
PR interval measurement: This is often performed after another ultrasound study, so it is billed as 76828. If performed as part of an initial fetal echocardiogram evaluation, it is billed as 76827 then, and 76828 on subsequent studies.