MedicaidCoverageHigh impact
Remote Ultrasound Procedures and Remote Fetal Nonstress Tests, Effective Ocotober 1, 2024
Maryland Medicaid·MD · OB-GYN, Radiology·Managed Care Organizations
Effective date
Oct 1, 2024
We identified it
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.
Action Required
Before 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. Update encounter forms and templates to allow providers to select 'remote' delivery option and capture patient location (home or outside office). Train 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). Verify provider enrollment status is active in Maryland Medical Assistance Program on service date. Ensure compliance with HIPAA security requirements for remote data transmission. Claims submitted without proper POS codes or from non-enrolled providers will be denied. Contact Maryland Medicaid at 1-800-456-8900 with questions.