We are committed to ensuring that our website is accessible to everyone. If you have any questions or suggestions regarding the accessibility of this site, please contact us.

Please see ISO privacy notice. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Authors: The Society for Maternal-Fetal Medicine (SMFM) Coding Committee; Angela Martin, MD, FACOG; Trisha Malisch, CCS-P, CPC; Steve Rad, MD, FACOG

An initial assessment of the fetal right/left orientation, followed by an assessment of the following segments and their relationships:

Additional imaging views are described in the practice parameter and may be included based on your institution protocol and/or as clinically relevant. Accurate and complete documentation, appropriate clinical indication, acquisition and storage of images, and technical and equipment specifications are essential. These are further explained in the practice parameter.

ISO 22325:2016 provides guidelines for an organization in assessing its emergency management capability. It includes · an assessment model with a hierarchy of four levels; · eight indicators; · an assessment process, explaining how to plan, collect, analyse and report. ISO 22325:2016 is intended to be used by organizations responsible and accountable for emergency management. Each organization's context can involve a mix of prevention, mitigation, preparedness, response and recovery activities.

Maternal-Fetal Medicine subspecialists often perform fetal echocardiograms – a detailed evaluation of cardiac structure and function. When performing a fetal echocardiogram, according to the current AIUM Practice Parameter for the Performance of Fetal Echocardiography, at a minimum the following components are required:

Documentation of the heart rate and rhythm should be made by cardiac cycle length measurements obtained by the Doppler technique or M-mode interrogation. A normal fetal heart rate at mid-gestation is 120 to 180 beats per minute. If bradycardia or tachycardia is documented, or if the rhythm is noted to be irregular, a detailed assessment of atrial and ventricular contractions should be performed.

ISO 22325:2016 is intended to be used by organizations responsible and accountable for emergency management. Each organization's context can involve a mix of prevention, mitigation, preparedness, response and recovery activities.

Please note that some third-party payers may not allow 76827 (fetal Doppler echocardiography) along with 76825 (fetal echocardiography).  Be sure that the results of the fetal Doppler echocardiography and color flow are included in the report. Ductus venosus, umbilical artery, middle cerebral artery. and other Pulsed-wave Doppler ultrasound measurements as noted above are included in these codes noted and not billed separately when part of the fetal echocardiogram study.

Please submit any questions you may have to the SMFM Coding Committee Ask a Coding Question website (smfm.org/coding/questions/new). Additional information and resources are also available on our coding website. Thank you very much.

SMFM is dedicated to enhancing the clinical practice of Maternal-Fetal Medicine (MFM) through education, research promotion, and advocacy. Our commitment is to optimize equitable perinatal outcomes for all individuals desiring or experiencing pregnancy.

Almost done!  You are only one step away from joining the ISO subscriber list. Please confirm your subscription by clicking on the email we've just sent to you. You will not be registered until you confirm your subscription. If you can't find the email, kindly check your spam folder and/or the promotions tab (if you use Gmail).

© All Rights Reserved All ISO publications and materials are protected by copyright and are subject to the user’s acceptance of ISO’s conditions of copyright. Any use, including reproduction requires our written permission. All copyright requests should be addressed to copyright@iso.org.

If you are already a member and have not activated your account, click on the "Create an Account" button to start the process. Once logged in, you can: