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BETA v.3.0

2025 CPT code 76814

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, each additional gestation.

This code is an add-on code and must be used in conjunction with 76813 when measuring nuchal translucency in multiple pregnancies. It is reported once for each additional fetus after the first.

Modifiers such as 26 (professional component), 52 (reduced services), and others may be applicable depending on the specific circumstances of the service provided. Modifier 59 may be needed if multiple additional services.

Medical necessity for this procedure is based on screening for chromosomal abnormalities in multiple gestations during the first trimester.

The physician performs a transabdominal or transvaginal ultrasound to measure the nuchal translucency thickness in each additional fetus to assess for potential chromosomal abnormalities. The procedure involves applying gel to the patient's abdomen or inserting a probe into the vagina and using sound waves to create images.

IMPORTANT:Use 76814 in conjunction with 76813 (for the first gestation).

In simple words: This is an additional ultrasound performed during the first trimester of pregnancy to measure the fluid buildup at the back of each additional baby's neck. It helps screen for potential birth defects.

This add-on code describes a transabdominal or transvaginal ultrasound performed to measure fetal nuchal translucency for each additional fetus in the first trimester of pregnancy. It is used to screen for chromosomal abnormalities.

Example 1: A pregnant woman carrying twins undergoes a first-trimester ultrasound. Code 76813 is reported for the nuchal translucency measurement of the first fetus, and 76814 is reported for the measurement of the second fetus., A pregnant woman with triplets undergoes a nuchal translucency screening. Code 76813 is used for the first fetus and 76814 is reported twice, once for each of the additional two fetuses., A patient pregnant with quadruplets undergoes a first-trimester ultrasound for nuchal translucency measurement. Code 76813 is used for the first fetus and 76814 is reported three times for each additional fetus.

Documentation should include the measurements obtained, the method used (transabdominal or transvaginal), the number of fetuses, and any relevant findings or abnormalities observed during the examination.

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