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76818 - CPT – fetal biophysical profile (BPP), a test to measure fetal well-being

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Procedure / ServiceCPT – fetal biophysical profile (BPP), a test to measure fetal well-being
Procedure / Service Description

referral or authorization. - The Alliance will reimburse contracted providers for biophysical and modified biophysical profiles without referral or authorization. CPT 76818 – fetal biophysical profile (BPP), a test to measure fetal well-being. CPT 76819 – modified biophysical profile, combines a non-stress test and measurements of amniotic fluid (amniotic fluid index).

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.