Re: Nuchal Translucency
From: James Smeltzer (James.Smeltzer@wellstar.org)
Mon Jan 3 11:26:51 2005
Hi, y'all & happy new year!
Many of you know the way we have practiced in this regard. So far we
have a few babies with Down Syndrome not identified in this manner but
identified by second trimester sonogram, stigmata, etc. in an incidence
base of 2000 deliveries per year. Biochemical testing has identified two
of those.
I think it should be a part of standard practice, as a personal
opinion. This may be a minority report. I do appreciate the additional
premium reimbursement for 76811 so I should not squack.
Jim
--
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451
>>> orlandoultrasound@hotmail.com 12/29/2004 12:47:54 PM >>>
The nuchal translucency, and nuchal fold ( age determinent ) are part
of our normal protocol. I think most facilities have adopted this into
standard procedure as part of the 76801 and 76811 Pregnancy exams.
If there are abnormalities detected, I think most insurance companies
allow for for follow-up ultrasound exams for further evaluation.
Kevin
Doug Marcum BA,RDMS,RDCS,RVT(APS)
Kevin Snider RDMS,RDCS,RVT
Chad Hall RDCS, RVT
Orlando Ultrasound Associates, Inc.
Diagnostics - Consulting- Education
Office: 407-273-7303
Toll-free: 866-613-7303
Fax: 407-381-2502
>From: billking@cros.net (R.A. King) >Reply-To: ultrasound@obgyn.net
>To: Multiple recipients of list ULTRASOUND <ultrasound@dns.obgyn.net>
>Subject: Nuchal Translucency >Date: Tue, 28 Dec 2004 19:33:05 -0600 >
>How many of you are measuring nuchal translucency between 11 weeks and
>14 weeks as a screening test to calculate the risk for Trisomy 21 and
>Trisomy 18? Do you offer it to your patients if they are advanced
>maternal age or is your routine to perform the exam for patients of any
>age? I have heard of some physicians who recommend it for every patient
>and others who only offer it to patients of advanced maternal age. If
>you are performing this screening exam, are you finding that insurance
>companies are reimbursing for this exam? If you do a follow-up sonogram
>later in the second trimester, are there problems in having the second
>exam covered by insurance companies? Do you perform nuchal translucency
>measurements alone or do you accompany them with the PAPP-A and
>freeBeta-hCG bloodwork? > >R. King RDMS >Bayshore OB/GYN >
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