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CPT 76814: First‑Trimester Nuchal Translucency Measurement, Add‑On
CPT code 76814 denotes an add‑on diagnostic ultrasound measurement of fetal nuchal translucency for each additional fetus during the first trimester. This targeted sonographic assessment provides a quantitative measure used in prenatal screening for chromosomal abnormalities and certain structural anomalies. As an add‑on code, 76814 is reported in conjunction with the primary nuchal translucency or first‑trimester ultrasound performed for the initial fetus and reflects additional imaging work for multiple gestations.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise summary of clinical context, typical sites of service, common modifiers used with the code, and how the code functions as an add‑on in billing workflows for multiple pregnancies. The publication also outlines benchmarking elements and policy considerations that commonly affect coverage and reimbursement for first‑trimester nuchal translucency measurements.
This national summary is intended to help billing professionals, obstetric imaging providers, and policy analysts understand the purpose of CPT code 76814, its clinical role in prenatal screening for multiple gestations, and the scope of payer coverage practices and documentation expectations. Data not available in the input: associated taxonomies, ICD‑10 diagnoses, specific payer policy details, and related codes.
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Billing Code Overview
CPT code 76814 is an add‑on ultrasound procedure used to measure the fetal nuchal translucency (the clear, fluid‑filled space at the back of a developing fetus's neck) for each additional fetus during the first trimester. The measurement is performed using either transabdominal or transvaginal ultrasound and is intended to assist in identifying chromosomal abnormalities or developmental defects in the fetus.
Service type: Diagnostic obstetrical ultrasound — first trimester nuchal translucency measurement, add‑on for each additional fetus
Typical site of service: Outpatient radiology/imaging suite or obstetrics clinic; may be performed in an ambulatory surgery center or hospital outpatient department when clinically indicated.