76805 Insurance Policy Changes

CPT 76805, in plain terms, covers An ultrasound exam of a single pregnancy that's at least 14 weeks along. CPT 76805 is referenced in 2 tracked payer policy changes from Connecticut Medicaid (HUSKY Health) and New Jersey Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 76805 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 76805 on AAPC