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100

This Guideline may be used to evaluate vaginal bleeding in pregnancy.

What is OB-5.2 

100

Initial imaging required in order to qualify for an MCA doppler study per OB-20.1 for FGR 

What is a normal umbilical Artery doppler (76820) 

100

What follow up imaging may be indicated after an anatomy scan for a maternal high risk factor of pre-pregnancy BMI 30-34.9? 

What is ONE 76816 between 32-36 weeks 

100

Where would you find instruction for Multiple CPT, and/or Multiple Units information? 

Ob batching cases

OB Baskets or Multiples 

What is the Nurse Job Aid, Health plan job aid, sharePoint 

100

This imaging study 76641 might be indicated to evaluate a palpable breast mass?

What is complete unilateral breast US

200

These Guidelines may be used to evaluate a High risk pregnancy with maternal history of Asthma and Lupus.

What is OB-9.1.1 and/or OB-12.3

200

One of these imaging studies may be required as initial evaluation of breast implant rupture (non-Aetna).

What is Mammogram or Breast US 

200

Any one of these imaging request may follow an indeterminate, incomplete or equivocal finding on a fetal anatomy scan

what is 76815 or 76816, OB-7.2

200

Where would you find the required documentation for an OB request?  

What is OB -1.1 

200

This imaging study 76825, 76827 might be requested to evaluate fetal extra-cardiac anomaly?

What is Fetal echocardiography, Doppler echocardiography

300

This Guideline may be used to evaluate an abnormal US finding of fetal Echogenic intra-cardiac foci.

What is OB-9.2.2

300

What may be required prior to 1st trimester imaging 76801 and/or 76817 in a high risk pregnancy?

What is +pregnancy test or confirmation of pregnancy (OB-1.2) 

300

Following an anatomy scan, what imaging may be performed due to indeterminate findings of possible dermoid or endometrioma?  

What is MRI Pelvis w/o, OB-15.1

300

Where would you find request for imaging related to a low lying Placenta?

What is OB-21.6 

300

This imaging study 76821 might be requested to evaluate for twin to twin transfusion syndrome?

What is middle cerebral artery (MCA) Doppler

400

This Guideline may be used for maternal h/o depression on SSRI

What is OB-10.1.  Also can be found in OB-12.4 for use Paroxetine only 

400

What may be required in order to qualify for twice weekly imaging request for a 76820 in the fetal growth restriction Guideline OB-20.1?

What is EFW <5% , AC <5%

400

What is the next imaging study you would perform following an 76805 with a findings of Choroid plexus cyst? 

What is 76811, OB-9.2.2 

400

Where would you find specific case processing rules related to NC Medicaid retro request? 

For CDP Affinity 

What is the OB tool and/or Nurse job aid  

CDP: Health Plan job aid 

400

This imaging request 76813 might be requested for 1st trimester aneuploidy screening?

What is nuchal translucency

500

This Guideline may be used for maternal h/o Type 1 diabetes on insulin

What is OB-9.6.2 (This guideline is used for pre-existing/pre-pregnancy diabetes) 

500

What imaging may be required for high risk pregnancy, prior to current request for 76816, to assess an abnormality found on 1st trimester imaging (76801 and/or 76817) HINT: currently 17.6 weeks gestation?   

What is 76811, anatomy scan 

500

What initial imaging would be used for a low risk pregnancy with abdominal injury currently 15w0d gestation? Hint: no prior US have been performed 

what is 76805 and/or 76817, OB-26.1

500

Where would you find Abbreviations and Glossary for OB? 

What is in the OB US Guideline and/or SharePoint under approved abbreviations  

500

This imaging request 93976 might be requested <16 weeks gestation to evaluate Chronic HTN or those who are at risk for preeclampsia?

What is Uterine artery Doppler