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This Practice Bulletin was developed by the American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins–Obstetrics and the American Institute of Ultrasound in Medicine in collaboration with Lynn L. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care.These guidelines should not be construed as dictating an exclusive course of treatment or procedure.

In some cases, such as those involving maternal obesity, abdominal scars due to prior surgeries, close evaluation of the cervical length during the second trimester, or gestation less than 8 weeks, a transvaginal or translabial approach may be used.If a complete study is intended, but one of the required elements cannot be visualized (eg, obscured by bowel gas or surgically absent), the reason for non-visualization must be documented in the report in order to assign a complete study CPT® code.1 Without this documentation, the limited study code, 76815, should be assigned.Other codes in the OB ultrasound section of CPT® include 76816, a special code for follow-up examinations of fetal size or fetal organ systems; 76818 through 76821 for biophysical profiling and Doppler velocimetry; and 7684, nuchal translucency measurement codes that were described recently in the September/October 2006 ACR Radiology Coding Source as part of the 2007 CPT® code update. The bright white circle center-right is the head, which faces to the left.Features include the forehead at 10 o'clock, the left ear toward the center at 7 o'clock and the right hand covering the eyes at .

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