Ultrasound accuracy for dating

This chapter deals with normal fetal anatomy; however, frequent references to anomalies are made to underscore the pertinence of a good anatomic evaluation.Each image used in this chapter was obtained using two-dimensional (2D) ultrasound.NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only.MTHelp Line does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician.

The transvaginal approach should be used in all circumstances where a viable intrauterine pregnancy is not obvious on transabdominal assessment.These include organizations such as the American College of Obstetricians and Gynecologists (ACOG), American Institute of Ultrasound in Medicine (AIUM), Australasian Society of Ultrasound in Medicine (ASUM), National Health Service (NHS) in the United Kingdom, and the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) (Table 1.3).Guidelines typically describe the essential components of an obstetric ultrasound examination.Copel provided a review of obstetrical sonography coding during a talk at the Leading Edge in Diagnostic Ultrasound meeting, held earlier this year in Atlantic City, NJ.For first-trimester obstetrical sonography, practices should employ the 76801 code: ultrasound, pregnant uterus, real-time with image documentation, fetal and maternal evaluation, first trimester ( Placenta-related ICD codes include 641.03 (placenta previa without hemorrhage), 641.13 (placenta previa with hemorrhage or pregnancy bleeding), 641.23 (placental abruption), and 656.73 (placenta, abnormal).

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