CommercialReimbursementMedium impact
00.01.72, Multiple Procedure Payment Reduction (MPPR) Guidelines for Transvaginal and Transabdominal Ultrasounds
Independence Blue Cross·OB-GYN, Radiology, Diagnostic Imaging·Claims & Billing
Effective date
Mar 2, 2026
We identified it
Jun 19, 2026
Summary
A new policy establishes Multiple Procedure Payment Reduction (MPPR) guidelines for transvaginal and transabdominal ultrasounds under commercial insurance plans. This policy will reduce reimbursement when multiple ultrasound procedures are performed on the same date of service.
Action Required
Before March 2, 2026: Billing team must review and implement MPPR guidelines for ultrasound procedures. Update billing software to apply payment reductions when multiple transvaginal or transabdominal ultrasounds are billed on the same date. Review the full policy details at the provided URL to understand specific reduction percentages and applicable procedure combinations.