EviCore
Fetal Anatomy Scan – Optimally completed at ≥ 18 weeks, may be considered at ≥ 16 weeks ☐ CPT© 76805 . Gestational age at time of imaging _____ Cervical Length – Suggested starting at 16 weeks until 24 weeks ☐ CPT© 76815 . AND/OR ☐CPT© 76817. Gestational age at time of initial imaging _____ ................
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