Insurance Codes- First Trimester Screen and MaterniT21

INSURANCE CODES

Attached you will find a list of procedure codes for your genetic screening options. If you choose to have any of the tests performed, please contact your insurance company to verify coverage. If you need to discuss payment arrangements, please contact our Business Office at 262-544-4411.

Cystic Fibrosis:
81220

1st Trimester Screening:
Blood test
84704 –HCG screening
84163 – Papp-a
82105 – AFP (optional)
36415 – Venipuncture
Nuchal Translucency Ultrasound
76813 –Ultrasound, pregnant uterus, real time image documentation, 1st trimester fetal nuchal translucency measurements, abdominal or vaginal approach, single or first gestation.

Free Cell DNA Test
To get more information on the transparency program contact Integrated Genetics at integratedgenetics.com and click the “Estimate my cost” button or call 844-799-3243.

SMA: 81401

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Phone: 262-544-4411
Fax: 262-650-3856

Moreland OB-GYN Associates, S.C. now offers nine locations to serve your needs. Visit us in Waukesha,
Mukwonago, Sussex, Brookfield, Hartland, Delafield, Oconomowoc Hostpital, Oconomowoc Physician Center & Watertown.

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