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Maryland MedicaidMedicaid · Coverage · Managed Care Organizations · MD · OB-GYN, RadiologyHigh impact

Remote Ultrasound Procedures and Remote Fetal Nonstress Tests, Effective Ocotober 1, 2024

Effective date
Oct 1, 2024
Identified
Jun 20, 2026

Summary

Maryland Medicaid now covers remote ultrasound procedures and remote fetal nonstress tests effective October 1, 2024, when performed in a patient's home or outside the provider's office. Billing teams must use place of service codes 10 or 12 to identify remote delivery, and reimbursement rates remain the same as in-office services. All 20 listed obstetric ultrasound and fetal monitoring CPT codes are now eligible for remote billing.

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What to do

Action · 7 steps
01Before October 1, 2024 (retroactive—implement immediately): Billing team must update billing system to recognize place of service (POS) codes 10 and 12 as billable modifiers for CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76818, 76819, 76820, 76821, 76825, 76826, 76827, 76828, and 59025.
02Update encounter forms and templates to allow providers to select 'remote' delivery option and capture patient location (home or outside office).
03Train billing staff to ensure claims for obstetric ultrasounds and fetal nonstress tests performed remotely are submitted with appropriate POS codes (10 for patient's home via telehealth, 12 for other non-facility locations).
04Verify provider enrollment status is active in Maryland Medical Assistance Program on service date.
05Ensure compliance with HIPAA security requirements for remote data transmission.
06Claims submitted without proper POS codes or from non-enrolled providers will be denied.
07Contact Maryland Medicaid at 1-800-456-8900 with questions.

Codes mentioned

7680176802768057681076811768127681376814768157681676817768187681976820768217682576826768277682859025

Original notice

Remote Ultrasound Procedures and Remote Fetal Nonstress Tests, Effective Ocotober 1, 2024
health.maryland.gov no longer serves this document. We saved a copy on Nov 6, 2026.
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