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2025 CPT code 76828

Repeat/follow-up fetal Doppler echocardiography with spectral display.

Use modifier 59 if performed on the same day as the initial study. Modifier 26 is used for professional component and TC for technical component.

Modifiers 26, TC, 59, 76, 77 are applicable.

Medical necessity must be established by documenting the indication for the repeat study, such as a previously identified fetal heart abnormality, suspected heart defect, or other condition requiring follow-up evaluation.

In simple words: This is a follow-up ultrasound of the baby's heart during pregnancy, using sound waves to create images and measure blood flow. It helps doctors check the baby's heart development and function if a problem was found or suspected on a previous ultrasound.

Doppler echocardiography, fetal, cardiovascular system, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study.

Example 1: A pregnant woman had a fetal echocardiogram at 20 weeks that showed a possible heart defect. A follow-up study using code 76828 is performed at 24 weeks to re-evaluate the heart and assess any changes., A fetus was diagnosed with a heart arrhythmia during a routine ultrasound. Code 76828 is used for a repeat fetal echocardiogram to monitor the heart rhythm and ensure it is stable., A pregnant woman with a family history of congenital heart defects undergoes a fetal echocardiogram. If initial findings are unclear, 76828 is used for a follow-up scan to further evaluate the fetal heart.

Report should include spectral display images, measurements of blood flow velocities, and a detailed interpretation of the findings, referencing the previous study.

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