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    5 things you need to know about Zika

     

    Coding for Zika: CPT codes

    76801: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation

     

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    76802: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation [List separately in addition to code for primary procedure]

    76805: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation

    76810: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation

    76816: Ultrasound, pregnant uterus, real time with image documentation, follow-up (e.g., re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system[s] suspected or confirmed to be abnormal on a previous scan, transabdominal approach, per fetus)

     

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    59000: Amniocentesis; diagnostic

    76946: Ultrasonic guidance for amniocentesis, imaging supervision and interpretation

    86790: Antibody, virus, not elsewhere specified

    86382: Neutralization test, viral

    Source: American Medical Association

    Coding for Zika: ICD-10

    • A92.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It became effective on October 1, 2016. This code is applicable to:

    ·       Zika virus fever

    ·       Zika virus infection

    ·       Zika NOS

    ICD-10-CM A92.5 is grouped within Diagnostic Related Group(s) (MS-DRG v34.0):

    • 865 Viral illness with mcc

    • 866 Viral illness without mcc

     

     

    Source: ICD10data.com

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