Fetal position, movement, breathing and heart rate, Chest-heart (the basic cardiac examination includes a four chamber view of the fetal heart. 2/3 of all pregnancy-related deaths are preventable. In accordance with generally accepted standards of medical practice; and, 2. 0000047818 00000 n Submitted by admin on . Short Term Limited Duration Coverage is for individuals and families who do not have healthcare coverage and need coverage for a limited time. Code 76816 describes and examination designed to reassess fetal size and interval growth or reevaluate one or more anatomic abnormalities of a fetus previously demonstrated on ultrasound, and should be coded once for each fetus requiring reevaluation using modifier 50 for each fetus after the first. 0000036276 00000 n To continue to the HealthEquity website, click "Accept." Copyright 2023 ALM Global, LLC. Montgomery, Alabama 36130-4839. To continue to this website, click "Accept." If only a 3D study is performed, the two-dimensional portion of the ultrasound is covered per the above criteria. Apply Online Now Waiting for new healthcare coverage to begin, Not eligible for a tax credit on the Health Insurance Marketplace, One-day gap in coverage required before re-enrolling in this plan. FULL TIME EMPLOYEES. BCBSCURRENTYEAR Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. 229 - Antepartum Fetal Surveillance. 175 (2016)- Ultrasounds in Pregnancy. Pearlman M.D., Tintinalli J.E., Lorenz R.P. 0000024504 00000 n preterm birth <34 weeks or spontaneous/unexplained premature rupture of membranes <34 weeks). See . CPT codes 99441-99443 should be reported for audio-only evaluation and management services. As a general rule, benefits are payable under health plans only in cases of medical necessity and only if services or supplies are not investigational, provided the customer group contracts have such coverage. If you have questions about your healthcare coverage or need to update your contact information, please contact ALL Kids Customer Service at: 1-888-373-5437. . As many as 50,000 women a year experience severe, unexpected health problems related to pregnancy. ACOG Practice Bulletin. 0000001716 00000 n 2023, BlueCross and BlueShield of Alabama is an independent licensee of the BlueCross and BlueShield Association. The American College of Obstetricians and Gynecologists (ACOG) uses the terms standard, limited, and specialized to describe various types of ultrasound examinations performed during pregnancy. 0000018009 00000 n 0000004061 00000 n Medical Policy Group, April 2014 (2): Added statement to policy to cover 76811 for obese mothers (BMI of 30 or greater). No additional activities are required to earn the waiver. Available Monday through Friday, 7:00 a.m. to 6:00 p.m. Central Time. Please review each section carefully because there are some differences in the codes. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield Companies. Medical Policy Group, March 2017 (4): Update to References and policy statement, adding specific criteria for monochorionic and dichorionic twins regarding ultrasounds. Q: Is my specialty eligible for performing telehealth? Find a provider now. preterm birth <34 wks or spontaneous/unexplained PROM <34 wks meets criteria. In those cases, obstetrical USGs for estimated fetal weight meet for coverage when performed at least 2 to 3 weeks apart; Confirming suspected or following confirmed diagnosis of polyhydramnios or oligohydramnios; Decreased fetal movement after a failed kick-count for gestational age of 20 weeks or more; Known or suspected genetic or congenital anomaly. Krakow D, Williams III J, Poehl M, Rimoin DL, Platt LD. Yes! Under fetal conditions, added twin-twin syndrome, fetal anemia, and known/suspected genetic or congenital anomaly. The following Association Technology Evaluation Criteria must be met for a service/supply to be considered for coverage: 1. ACOG Practice Bulletin. No. Obstet Gynecol 1997; 89:434-8. It's never been more important to make sure you get every benefit available. ), Umbilical cord insertion site into the fetal abdomen, Spine-cervical, thoracic, lumbar and sacral spine, Extremities-legs and arms (presence or absence), Sex-in multiple gestations and when medically indicated in low-risk pregnancies. 2011. While this is the claims-filing process for Blue Cross and Blue Shield of Alabama, this may vary among payers. ACOG Practice Bulletin. ACOG Practice Bulletin. Code 76815 represents a focused quick look exam limited to the assessment of one or more of the elements listed in the code. Also added "may be medically necessary". 0000016659 00000 n The decision of whether or not to have a certain test, treatment or procedure is one made between the physician and his/her patient. Radiolog Clin of North Am 2003; 41(4). covered under the plan and when your child's coverage begins. Obesity is defined as 100 or more pounds over ideal body weight (as determined by the Metropolitan Height and Weight Table or BMI >30). HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. One ultrasound in the last month of pregnancy may be considered medically necessary to . Refer to members benefit plan. 0000019513 00000 n Medical Policy Group, October 2013 (2): Removed ICD-9 Diagnosis/Procedure codes; no change to policy statement. CPT codes, descriptions and data copyright BCBSPREVIOUSYEAR American Medical Association. Please continue to check AlabamaBlue.com/providers/coronavirus for the most up-to-date version. These trends are made even more concerning in the wake of the coronavirus pandemic. Dental Choose an affordable plan for you or your family. Medical Policy Group, August 2021 (4): Updates to Policy, Key Points, and References. Maternal Health Pregnancy Care Incentive Program A healthy pregnancy is just the beginning We're dedicated to supporting healthy pregnancies, from early prenatal care in your first trimester all the way through childbirth and the months that follow. Employers Find the right plan for your employees. Refunds may be requested based on the results of these audits. Effective January 1, 2022, Credence Blue Cross Blue Shield (Credence BCBS) will be offered to Alabama National Accounts with groups that have significant membership outside of the state of Alabama. Management of Preterm Labor. Cancer prevention, diagnosis, and treatment outcomes remain stubbornly dire for underserved and hard-to-reach populations. For you, and your baby. CPT codes, descriptions and data copyright 2022 American Medical Association. Option 1: Stay on Your Parents' Health Insurance Plan Under the Affordable Care Act, young adults can choose to stay on their parents' health insurance plan until they turn 26 no ifs, ands or buts. Medicare Select Plan Learn more about Medigap, Medicare Supplement and CPlus plans. Information contained in the external sites is not endorsed by BCBSAL. If you want to stay on the Blue Cross website, click "Cancel.". Baby Yourself - free gifts and a personal nurse offer support for a healthy pregnancy; Additional routine ultrasounds are considered not medically necessary. Thank you for your interest in our Short Term Plan. Below is a list of possible warning signs: To learn more about the HEAR HER campaign, visit CDC.gov/HearHer for free information, related resources and learning materials. an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. 31, October 2001. Medical Policy Administration Committee, March 2017. Blue Cross Blue Shield (BCBS) Insurance Guidelines cover a breast pump and breast pump supplies at no cost to you and your family. Alabama Perinatal Excellence Collaborative. Professional Edition 2010. Changes for 2023: Page 15 Summary of Benefits: Page 162 This Plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. The technology must improve the net health outcome; 4. The Telehealth Billing Guide contains a list of approved CPT codes for our expanded Telehealth Coverage Guidelines. Update to policy statement regarding cervical length assessment. Lazarus E. Whats new in the first trimester ultrasound. Non-routine ultrasounds may be considered medically necessaryincluding, but not limited to, any of the following: One ultrasound in the last month of pregnancy may be considered medically necessary to verify a breech or other malpositioned fetus. Not primarily for the convenience of the patient, physician or other health care provider; and, 4. New breast cancer screening guidelines spark fresh debate. Supporting mothers and babies through every stage of pregnancy. Bernaschek G., Ruaelstorfer R., Csaaicsich P. Vaginal sonography versus serum human chorionic gonadotropin in early detection of pregnancy, Am J Obstet Gynecol 1988, 158:608-612. Per the American Medical Association Current Procedural Terminology (CPT): Codes 76801 and 76802 include determination of the number of gestational sacs and fetuses, gestational sac/fetal measurements, survey of visible fetal and placental anatomic structure, assessment of amniotic fluid volume/gestational sac shape and examination of the maternal uterus and adnexa for fetuses younger than 14 weeks 0 days. See Policy #232 for Fetal Biophysical Profile. ACOG Practice Bulletin. Over 700 women die of pregnancy-related health issues every year. endstream endobj startxref This new program was developed by the Children's Health Insurance Program to improve health outcomes for mothers and babies in Alabama. Serial ultrasounds every 2-3 weeks beginning at 16 weeks. 0000018959 00000 n Three-dimensional ultrasound of the fetal spine. You can choose from a selection of breast pumps and accompanying milk storage bags. Medicare covers pregnancy, childbirth, and postnatal care, but it won't cover your baby once it's born. 0000018452 00000 n Number 130, October 2012. Your policy might also have lifetime and/or annual dollar limits on health benefits. This new coverage is available for pregnant women and their unborn children through Alabama's Childrens Health Insurance Program to improve health outcomes. View our COVID-19 and Telehealth BenefitsGuide. Credence BCBS is a new, geographically neutral experience available to these specific National Account groups. 0000033556 00000 n You can enroll any time and your coverage begins immediately. For a complete list of diagnosis coding guidance for confirmed, suspected, or asymptomatic cases, please refer to the CDCs guidelines: ICD-10-CM Official Coding and Reporting Guidelines April 1, 2020 through September 30, 2020. In some cases, the pregnancy may be considered high-risk during the first two ultrasounds and the patients condition may improve as the pregnancy progresses. Q: Does Blue Cross require modifiers for telehealth (95/GT/GQ) or disaster/crisis (CR)? ALL Babies and ALL Kids are administered by Alabama's Children's Health Insurance Program (CHIP) through the Alabama Department of Public Health. BlueCross BlueShield of South Carolina's (BCBS SC's) maternity coaching program offers tiered support for varying levels of need: low/medium-risk pregnancies, high-risk pregnancies and neonatal intensive care. If a code is not listed in the guide, it is NOT included at the time of the publication. . As part of the cardiac screening examination, an attempt should be made if technically feasible, to view the outflow tracts. The use of three-dimensional (3D) ultrasound (use of CPT codes 76376 or 76377 with 76801-76817) is considered not medically necessary. While data shows troubling trends in maternal health for the U.S., Blue Cross Blue Shield companies are creating supportive interventions for mothers-to-be. If you want to stay on Blue Cross' website, click "Cancel.". 14 49 A standard ultrasound examination includes an evaluation of fetal presentation, amniotic fluid volume, cardiac activity, placental position, fetal biometry, and fetal number, plus an anatomic survey. Members and covered spouses enrolled in the PEEHIP Hospital Medical Group #14000 Plan (BCBS) can earn a waiver of the wellness premium by completing a wellness screening between August 1, 2022 and August 31, 2023. Failure of the initial ultrasound to diagnose or confirm suspicions. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies. For billing guidance regarding COVID-19 tests and associated lab billing codes, please refer to our COVID-19 Testingpage. appropriate monthly until 24 weeks, every two weeks until 32 weeks, weekly after 32 weeks until delivery. Babypalooza has affiliate partnerships. 0000012870 00000 n A limited examination would be performed to confirm fetal heart activity in a patient experiencing vaginal bleeding or to establish fetal presentation in a laboring patient. Johnson DD, Pretorius DH, Riccabona M, Budorick NE, Nelson TR. This medical policy is not an authorization, certification, explanation of benefits, or a contract. A plan built for two A plan to cover what you both might need HWEWSG|x%FH'2wvYWgdUw~CQo/~mRO_>|=xT6KE_ZJ[{TfUuF}BY'nn/k'wku"}?7G5;&_|(6u8\Kqul7p]4 KRh@UO08Ix+V\.*+x&Z` ^j&V[^7$,qpdClfk^u_]H+-UZCRPXt]:C*7p9@i$qYD)J!ZZAR{x?b Vrm~y'#;n:cS~gj:;pv-nhp]A39Wy*M%'hvb j-Pz\!R@:]M<2kF*O>U.@huv+ Highlights of Alabama Personal Choice The Blue Cross ID card. Applicable FARS/DFARS apply. Medical policies are based on constantly changing medical science and the Plan reserves the right to review and update our policies as necessary. Available at: www.uptodate.com/contents/twin-pregnancy-prenatal-issues?source=search_result&search=twin%20pregnancy:%20prenatal%20issues&selectedTitle=1~150. The HEAR HER Campaign, promoted by the CDC encourages YOU to speak up and talk to your Provider if you are pregnant or have been pregnant and something does not feel right! Number 175, December 2016 (Reaffirmed 2020). Codes 76805 and 76810 include determination of number of fetuses and amniotic/chorionic sacs, measurements appropriate for gestational age, survey of intracranial/spinal/abdominal anatomy, four chambered heart, umbilical cord insertion site, placenta location and amniotic fluid assessment and examination of maternal adnexa for fetuses older than or equal to 14 weeks 0 days. As an Alabama Health Guidance representative, I agree to the payment terms and conditions of Blue Cross and Blue Shield of Alabama and will not collect any checking account, debit card or credit card information on behalf of the consumer for the purchase of health or dental insurance. 0000008287 00000 n CDT codes, descriptions and data copyright BCBSPREVIOUSYEARAmerican Dental Association. Policy section clarified. Please refer to the Telehealth Billing Guide for eligible providers. 0000031141 00000 n Separated 6th policy statement into maternal and fetal conditions. Data-driven insights to improve the health of all Americans. 0000010155 00000 n 0000012416 00000 n Enroll in PEEHIP coverage online https://mso.rsa-al.gov Building Location 201 South Union Street . More than one in-network office, urgent care, emergency room or behavioral health visit, or telehealth service for the same member incurred on the same day will be covered if it is rendered by in-network PPO providers and the claims are filed with a COVID-19 related diagnosis as outlined by the CDC and American Medical Association. Q: Is there more information on how/when to use diagnosis code U07.1 for the novel coronavirus? Twin Pregnancy. 2023 Blue Cross Blue Shield Association - All Rights Reserved. Exclusive discounts on BenefitsPRO.com and ALM events. Order a Free Breast Pump. No. American Medical Association Current Procedure Terminology (CPT). Q: Are there frequency limits for billing telehealth visits? If you have out of state insurance, your policy may cover IUIs and IVF. %%EOF The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. *Maternity ultrasounds for cervical length assessment for patients with a history of or risk factors for preterm labor are considered not medically necessary. (Coverage is based on CDC's Advisory Committee in Immunization Practices . Individual consideration will be given to cases where there is specific documentation in the patients medical record to perform both a transvaginal and transabdominal ultrasound on the same date of service. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama . For the first time, scientists say theyve identified 12 distinct symptoms of the post-pandemic era disease, after examining nearly 10,000 Americans in a 4-year study published in JAMA. Ultrasound Obstet Gynecol 2003; 21:467-72. CPT codes, descriptions and data copyright BCBSPREVIOUSYEAR American Medical Association. Ultrasound in pregnancy. (See Key Points). Q: What is the difference between telehealth and telemedicine? IOM (Institute of Medicine). A personal nurse to answer questions during and after pregnancy. In 2020, ACOG reaffirmed Practice Bulletin No. Have your Contact ID ready. Warren W.B., Timor-Tritsch I.E., Peisner D.B., Raju S., Rosen M.G. 0000022051 00000 n This documentation must include: Ultrasounds in maternity care are considered not medically necessary unless billed with the appropriate CPT code (as determined by the current CPT Standard Edition) indicated for the scan. The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Eligibility and benefits are determined on a case-by-case basis according to the terms of the members plan in effect as of the date services are rendered. No change to policy statements. Asymptomatic Bacteriuria in Pregnant Women, Screening 87081, 87084, 87086, or 87088 with a routine prenatal or high risk prenatal diagnosis code . 0000015652 00000 n The Telehealth Billing Guide contains a list of approved CPT codes and providers eligible to bill for them under our expanded Telehealth Coverage Guidelines for COVID-19. Antenatal care of low risk pregnancies: ultrasound, Clinical Evidence 2001, 5:960-971. 0000004634 00000 n Ultrasound may provide valuable information about fetal health including: The most recent literature review was updated through April 7, 2023. Display Title: Maternity. Does Blue Cross Blue Shield Cover a Breast Pump? Needed care should not be delayed or refused because of a coverage determination. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield Companies. 892 0 obj <> endobj Q: Is my specialty eligible for performing telehealth? (HCP rider) along with the diagnoses and procedure codes that Blue Cross and Blue Shield of Alabama has determined to meet and in some Known or suspected maternity conditions or abnormalities such as: Diabetes mellitus which was present prior to pregnancy beginning at 28 weeks of gestation, Gestational diabetes requiring insulin or oral agents for maximum blood glucose control beginning at 28 weeks of gestation, Patients requiring antihypertensive medication or with elevated blood pressure beginning at 28 weeks of gestation, Advanced maternal age (35 years of age or older). Clinical management guidelines for obstetrician-gynecologist, Ultrasonography in pregnancy. ACOG Guidelines on Antepartum Fetal Surveillance, American family Physician, September 2000. Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters. Refers to the optional coverage for prenatal care and delivery of a newborn. lawsuit filed in federal court in Detroit, Mammograms at 40? Blue Cross and Blue Shield of Alabama also offers a free maternity program for members which includes: 2005-2023 Babypalooza is a registered trademark of Lifestages Media Inc. All rights reserved. SINGLE COVERAGE. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. Insurance, your policy may cover IUIs and IVF medicare Supplement and CPlus plans, or a contract many 50,000... Codes 99441-99443 should be reported for audio-only evaluation and management services, the two-dimensional portion of the cardiac screening,... If a code is not endorsed by BCBSAL on how/when to use diagnosis code U07.1 for the of. ( 2 ): Updates to policy, Key Points, and References patient, physician or other bcbs of alabama pregnancy coverage! Diagnosis code U07.1 for the most up-to-date version must improve the health of all.. Information contained in the codes 7:00 a.m. to 6:00 p.m. Central time results of these.... The Technology must improve the health of all Americans new, geographically neutral available... Novel coronavirus please refer to the optional coverage for prenatal care and delivery of a determination! On Antepartum fetal Surveillance, American family physician, September 2000 the optional coverage for prenatal and. The use of cpt codes for our expanded telehealth coverage Guidelines your policy might also have and/or! All Americans, medicare Supplement and CPlus plans for you or your family BCBSPREVIOUSYEAR American medical Association, III. D, Williams III J, Poehl M, Rimoin DL, Platt LD a.m. 6:00... % 20prenatal % 20issues & selectedTitle=1~150 it is not included at the time of the Blue Cross and Blue Association., Peisner D.B., Raju S., Rosen M.G: Updates to,. Cross ID card new coverage is based on CDC & # x27 ; s coverage.... Codes 99441-99443 should be reported for audio-only evaluation and management services, Budorick,... Because there are some differences in the wake of the publication use of cpt codes, and... Listed in the Guide, it is not an authorization, certification, of. Benefits, or a contract information contained in the codes medicare Supplement CPlus... By BCBSAL of approved cpt codes 76376 or 76377 with 76801-76817 ) considered. Our expanded telehealth coverage Guidelines and accompanying milk storage bags review and update our policies as necessary dire underserved! % 20prenatal % 20issues & selectedTitle=1~150 pregnant women and their unborn children through Alabama Childrens. Remain stubbornly dire for underserved and hard-to-reach bcbs of alabama pregnancy coverage, it is not at!, August 2021 ( 4 ), Inc. 31, October 2013 ( 2 ): Updates policy. Independent, locally operated Blue Cross Blue Shield cover a breast Pump benefits, or a contract and who. Technology must improve the net health outcome ; 4 is covered per the above criteria % 20pregnancy: 20prenatal. These specific National Account groups may be considered for coverage: 1 your family Guidelines! More concerning in the external sites is not included at the time of elements. 2013 ( 2 ): Updates to policy, Key Points, and References limits for guidance. 2013 ( 2 ): Updates to policy, Key Points, and References the is... Weeks or spontaneous/unexplained PROM < 34 wks or spontaneous/unexplained PROM < 34 wks meets criteria bcbs of alabama pregnancy coverage Pump bcbscurrentyear Blue and... For cervical length assessment for patients with a history of or risk factors for labor! Or congenital anomaly ) ultrasound ( use of cpt codes, descriptions and data copyright BCBSPREVIOUSYEAR American Association! Health benefits and your coverage begins immediately 76376 or 76377 with 76801-76817 ) is not... Guidelines on Antepartum fetal Surveillance, American family physician, September 2000 may be requested based on changing. % 20pregnancy: % 20prenatal % 20issues & selectedTitle=1~150 Highlights of Alabama personal Choice the Blue Cross Blue Companies... September 2000 in our short Term limited Duration coverage is for individuals and who. Factors for preterm labor are considered not medically necessary to data shows troubling trends bcbs of alabama pregnancy coverage maternal health for most... Policy is not endorsed by BCBSAL in accordance with generally accepted standards of practice! Alabama, this may vary among payers novel coronavirus, fetal anemia, and References the! One ultrasound in the wake of the fetal spine Childrens health Insurance Program to improve the health all. Of Three-dimensional ( 3D ) ultrasound ( use of Three-dimensional ( 3D ) ultrasound ( use Three-dimensional. Ultrasounds every 2-3 weeks beginning at 16 weeks BCBS is a new, geographically neutral experience available to specific! Sure you bcbs of alabama pregnancy coverage every benefit available copyright BCBSPREVIOUSYEAR American medical Association Current Terminology! Limits for billing telehealth visits E. Whats new in the external sites is not included the! `` Cancel. `` a new bcbs of alabama pregnancy coverage geographically neutral experience available to these National. Telehealth ( 95/GT/GQ ) or disaster/crisis ( CR ) AlabamaBlue.com/providers/coronavirus for the U.S., Cross. A new, geographically neutral experience available to these bcbs of alabama pregnancy coverage National Account.... No change to policy statement not be delayed or refused because of a newborn optional coverage for prenatal and! Exam limited to the telehealth billing Guide for eligible providers pumps and accompanying milk bags... Covid-19 tests and associated lab billing codes, please refer to our COVID-19.! Codes 76376 or 76377 with 76801-76817 ) is considered not medically necessary or. Billing codes, descriptions and data copyright BCBSPREVIOUSYEARAmerican dental Association Technology must the... Ultrasound of the ultrasound is covered per the above criteria multifetal Gestations: Twin, Triplet, known/suspected! Year experience severe, unexpected health problems related to pregnancy to check AlabamaBlue.com/providers/coronavirus for the U.S., Blue Cross modifiers! An attempt should be made if technically feasible, to view the outflow.. Quick look exam limited to the telehealth billing Guide for eligible providers our expanded telehealth Guidelines! From a selection of breast pumps and accompanying milk storage bags health plan n 2023, BlueCross and BlueShield Alabama! Healthequity has agreed to follow Blue Cross Blue Shield Association is an licensee! 2-3 weeks beginning at 16 weeks of membranes < 34 weeks ) policy, Key Points and. As necessary Higher-Order multifetal Pregnancies claims-filing process for Blue Cross and Blue Shield Association is an independent licensee the! 6Th policy statement spontaneous/unexplained premature rupture of membranes < 34 wks or spontaneous/unexplained premature rupture of membranes < 34 or. Certification, explanation of benefits and coverage ( SBC ) document will help you choose a health plan stubbornly for! Regarding the confidentiality and protection of your personal health information health problems related to pregnancy COVID-19.... D.B., Raju S., Rosen M.G necessary to the claims-filing process for Blue Cross Blue Companies... X27 ; s Advisory Committee in Immunization Practices storage bags and update our policies as necessary, Pretorius DH Riccabona... Cdt codes, please refer to the optional coverage for prenatal care and delivery of bcbs of alabama pregnancy coverage.! At: www.uptodate.com/contents/twin-pregnancy-prenatal-issues? source=search_result & search=twin bcbs of alabama pregnancy coverage 20pregnancy: % 20prenatal % 20issues & selectedTitle=1~150 management for! Dl, Platt LD Antepartum fetal Surveillance, American family physician, September 2000 assessment for with... Rosen M.G health information to the telehealth billing Guide contains a list of approved cpt codes for expanded. //Mso.Rsa-Al.Gov Building Location 201 South Union Street cover IUIs and IVF tests associated... And hard-to-reach populations and your coverage begins immediately external sites is not listed in the code 00000! Whats new in the code Pregnancies: ultrasound, Clinical Evidence 2001 5:960-971... Children through Alabama 's Childrens health Insurance Alabama | Blue Cross and Blue Shield Companies this new coverage is for! Highlights of Alabama, this may vary among payers weeks ) 41 4... Update our policies as necessary among payers serial ultrasounds every 2-3 weeks beginning at 16 weeks and! ; 4 of Florida, Inc. 31, October 2013 ( 2:! For audio-only evaluation and management services Peisner D.B., Raju S., Rosen M.G reserves! Association Technology evaluation criteria must be met for a service/supply to be considered medically necessary during and after.! N Separated 6th policy statement into maternal and fetal conditions, added syndrome! Of medical practice ; and, 4 modifiers for telehealth ( 95/GT/GQ ) disaster/crisis! This may vary among payers and References not listed in the last month of pregnancy trimester ultrasound is! 6:00 p.m. Central time to diagnose or confirm suspicions Term plan policies regarding the confidentiality and protection of personal! Baby Yourself - free gifts and a personal nurse offer support for a service/supply to be considered necessary... Confidentiality and protection of your personal health information medical practice ; and, 2 Association Technology criteria... For billing telehealth visits ; 4, Peisner D.B., Raju S., Rosen M.G health outcome ; 4 (... A personal nurse to answer questions during and after pregnancy dental choose an affordable plan for you or your.... At 16 weeks I.E., Peisner D.B., Raju S., Rosen M.G 76376 or with... Be delayed or refused because of a coverage determination follow Blue Cross ' privacy and policies... Begins immediately, Inc. 31, October 2001, or a contract | Blue Cross Blue Shield a... # x27 ; s Advisory Committee in Immunization Practices, descriptions and copyright. E. Whats new in the wake of the initial ultrasound to diagnose or suspicions... Affiliate of Blue Cross website, click `` Accept. there more information on how/when to diagnosis... The results of these audits n 2023, BlueCross and BlueShield of Alabama CDT codes, descriptions data! Spontaneous/Unexplained premature rupture of membranes < 34 wks meets criteria babies through every stage of pregnancy may be considered coverage! Website, click `` Cancel. `` for cervical length assessment for patients with a history of risk! Feasible, to view the outflow tracts - all Rights Reserved or confirm suspicions pregnancy! Telehealth ( 95/GT/GQ ) or disaster/crisis ( CR ) with generally accepted of., Nelson TR of Alabama personal Choice the Blue Cross and Blue Shield cover breast. Click `` Accept. and need coverage for prenatal care and delivery a...