76825 Insurance Policy Changes

CPT 76825, in plain terms, covers An ultrasound test that specifically looks at the baby's heart structure and function during pregnancy. CPT 76825 is referenced in 2 tracked payer policy changes from Arkansas Medicaid and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 76825 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 76825 on AAPC