The following are the elements and components considered integral to the code 76811 ultrasound for known or suspected fetal anomalies.

Evaluation of intracranial, facial and spinal anatomy:

  • Lateral ventricles, third and fourth ventricles
  • Cerebellum* integrity of lobes*, vermis
  • Cavum septum pellucidum
  • Cisterna magna measurement
  • Nuchal thickness measurement (15‐20 weeks)
  • Integrity of cranial vault
  • Examination of brain parenchyma, (e.g. for calcifications)
  • Ear position, size
  • Face
  • Upper lip integrity
  • Palate
  • Facial profile
  • Evaluation of the neck (e.g. for masses)

Evaluation of the chest:

  • Presence of masses
  • Pleural effusion
  • Integrity of both sides of the diaphragm
  • Appearance of ribs

Evaluation of the heart:

  • Cardiac location and axis
  • Outflow tracts

Evaluation of the abdomen:

  • Bowel 
  • Adrenal glands
  • Gallbladder
  • Liver
  • Spleen
  • Ascites
  • Masses

Evaluation of genitalia:

  • Gender (whether or not parents wish to know sex of child)

Evaluation of limbs:

  • Number, size, and architecture
  • Anatomy and position of hands
  • Anatomy and position of feet

Evaluation of the placenta and cord:

  • Placental cord insertion site
  • Placental masses
  • Umbilical‐cord (number of arteries)

Evaluation of amniotic fluid:

  • Assessment of Amniotic Fluid Volume

Evaluation of the cervix (Not required)

Evaluation of the maternal adnexa when feasible

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