Prior Auth Required

76819 - CPT – modified biophysical profile, combines a non-stress test and measurements of amniotic fluid

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Procedure / ServiceCPT – modified biophysical profile, combines a non-stress test and measurements of amniotic fluid
Procedure / Service Description

referral or authorization. - 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). Services are reimbursed when providers use the appropriate billing codes for the following scenarios:

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.