United Healthcare Ultrasound Guidelines

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Obstetrical Ultrasound Policy, Professional

(8 days ago) WebUnitedHealthcare Community Plan Medicaid ICD-10-CM Detailed and High Risk Fetal Ultrasound Diagnosis list Additional Background and Sources The SMFM has stated that a fetal ultrasound with detailed anatomic examination (CPT 76811) is not necessary as a

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Obstetrical-Ultrasound-Policy-R7112.pdf

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Designated Diagnostic Provider UnitedHealthcare

(9 days ago) WebDesignated Diagnostic Provider benefits help protect members from higher, unjustified costs for outpatient lab or major imaging services while maintaining access to quality, safe, and efficient providers. These benefits are part of a strategy to lower overall healthcare costs. Member benefits for outpatient diagnostic lab and major imaging

https://www.uhc.com/member-resources/where-to-go-for-medical-care/care-options-and-costs/designated-diagnostic-provider

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Breast cancer screening and diagnosis UnitedHealthcare

(2 days ago) WebDiagnostic mammogram. If you’ve had an abnormal screening mammogram or may have signs of a possible breast condition (like a lump, pain, discharge, thickening breast skin, or changes in breast shape or size) you’ll likely get a diagnostic mammogram. Your doctor might also order this for any special circumstance, like if you have breast

https://www.uhc.com/health-and-wellness/health-topics/cancer/breast-cancer/breast-cancer-screening-and-diagnosis

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UnitedHealthcare to roll out coverage changes for obstetrical …

(2 days ago) WebEmail. UnitedHealthcare is rolling out a new obstetrical ultrasound policy for commercial members starting June 1, the payer said March 1. Under the policy, UnitedHealthcare will consider up to three prenatal ultrasounds per pregnancy proven and medically necessary. The CPT codes accepted under the policy are 76801, 76802, 76805, 76810, 76811

https://www.beckerspayer.com/policy-updates/unitedhealthcare-to-roll-out-coverage-changes-for-obstetrical-ultrasounds.html

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Medical & Reimbursement Policies - UnitedHealthcare

(7 days ago) WebMedical & Reimbursement Policies. The information at the links below is intended for use by those that provide health care services to members. Our Medical & Drug Policies and Coverage Determinations Guidelines opens in new window are tools we use to help us administer health benefits under your plan. Please consult your benefit plan document

https://prod.member.myuhc.com/content/myuhc/en/secure/benefits-coverage/medical-reimbursement-policies.html

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What are my care options and their costs? UnitedHealthcare

(8 days ago) WebConsider your health care options. Primary care provider. 24/7 Virtual Visits. Convenience care clinic. Urgent care center. Emergency Room. Average cost. $1701 for in-person visits, $99 or less for virtual primary care visits. $54 or less2.

https://www.uhc.com/member-resources/where-to-go-for-medical-care/care-options-and-costs

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Billing and Coding: Ultrasound, Soft Tissues of Head and Neck

(9 days ago) WebThe following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 76536. Group 1 Codes. Code. Description. C47.0. Malignant neoplasm of peripheral nerves of head, face and neck. C49.0. Malignant neoplasm of connective and soft tissue of head, face and neck. C73.

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57029&LCDId=34027&CptHcpcsCode=76536

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Abnormal Uterine Bleeding and Uterine Fibroids – …

(8 days ago) WebAbnormal Uterine Bleeding and Uterine Fibroids Page 1 of 18 UnitedHealthcare West Medical Management Guideline Effective 11/01/2023 Proprietary Information of UnitedHealthcare.

https://ams-gateway.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-mmg/abnormal-uterine-bleeding-fibroids-sv.pdf

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Guidelines for Professional Ultrasound Practice - BMUS

(4 days ago) WebSoR/BMUS Guidelines for Professional Ultrasound Practice. Revision 6, December 2021 6 Basic guidelines are included for obstetric ultrasound and links made to other resources. [2021] The national fetal anomaly screening programmes provide comprehensive information about the screening programmes offered in the UK.

https://www.bmus.org/static/uploads/resources/2021_SoR_and_BMUS_guidelines_v1.0_.pdf

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NCD - Ultrasound Diagnostic Procedures (220.5) - Centers for …

(Just Now) WebA. General. Ultrasound diagnostic procedures utilizing low energy sound waves are being widely employed to determine the composition and contours of nearly all body tissues except bone and air-filled spaces. This technique permits noninvasive visualization of even the deepest structures in the body. The use of the ultrasound technique is

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=263

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What’s preventive care and what’s covered? UnitedHealthcare

(5 days ago) WebWhat’s preventive care and what’s covered? What’s considered preventive care? Your annual physical care exam. Vaccines. Well-baby and well-child care. Recommended cancer tests and screenings at certain ages for skin, breast, colon, prostate, lung and cervical cancer. Other health screenings for things like osteoporosis and diabetes.

https://www.uhc.com/health-and-wellness/preventive-care

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Reimbursement Policy Low Frequency, Non-Contact, Non …

(Just Now) WebLow frequency, non-contact, non-thermal ultrasound, including topical application(s) when performed, wound assessment, and instruction(s) (for ongoing care, per day) describes a system that uses continuous low-

https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/LowFreqUltrasound_11022012.pdf

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Guidelines For Professional Ultrasound Practice

(8 days ago) WebSCoR/BMUS Guidelines for Professional Ultrasound Practice. Revision 3. December 2018 6 Foreword December 2015 edition It is my pleasure to introduce the updated ‘Guidelines for Professional Ultrasound Practice’, in the past affectionately known to sonographers as the ‘UKAS Guidelines’. The United Kingdom Association of Sonographers

https://www.sor.org/getmedia/c66f93a3-f14c-42ca-826f-26ba404e6952/scor_bmus_guidelines_final_6.pdf

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Obstetrical Policy, Professional - UHCprovider.com

(6 days ago) WebD. E/M Service with an OB Ultrasound Procedure UnitedHealthcare follows ACOG coding guidelines and considers an E/M service on the same date of service, by the Same Individual Physician or Other QHP to be separately reimbursed in addition to an OB ultrasound procedures (CPT

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Obstetrical-Policy.pdf

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Medicare coverage for mammograms UnitedHealthcare

(4 days ago) WebMedicare Part B covers 80 percent of the Medicare-approved amount for a diagnostic mammogram. You would be responsible for the remaining 20 percent. The Part B deductible would also apply. Some Medigap plans help pay these costs. Your costs may be different for a diagnostic mammogram if you have a Medicare Advantage plan.

https://www.uhc.com/news-articles/medicare-articles/medicare-coverage-for-mammograms

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Medical & Drug Policies and Coverage Determination …

(3 days ago) WebDiscogenic Pain Treatment– Commercial Medical Policy. Last Modified 08.01.2017. Effective Date: 08.01.2017 – This policy addresses thermal intradiscal procedures (TIPs) and percutaneous discectomy and decompression procedures for treating discogenic pain. Applicable Procedure Codes: 22526, 22527, 62287, 62380, S2348.

https://centercare.com/_uploads/Medical-Drug-Policies-and-Coverage-Determination-Guidelines-for-UHC.pdf

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Policies and Protocols for Providers UHCprovider.com

(4 days ago) WebFlorida: Explore the benefits of implementing SBIRT in your office. To support AHCA in its aim to reduce the impact of substance use disorders in Florida, implement SBIRT in your office. Health care provider information about UnitedHealthcare polices and protocols. Resources for commercial, Medicare Advantage, community, and exchange plans.

https://www.uhcprovider.com/en/policies-protocols.html

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