Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)
National · Effective Jan 1, 2026
1 active Medicare policy lists 76802, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Jan 1, 2026
4 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 76802 |
|---|---|---|
| OB Ultrasound Imaging GuidelinesEffective 02/15/2023 - 02/29/2024 | Feb 15, 2023 | Covered with conditions |
| Obstetrical Ultrasound Imaging GuidelinesEffective 03/01/2025 - 12/31/2025 | Mar 1, 2025 | Covered |
| Policy | Effective | Status of 76802 |
|---|---|---|
| Maternity Ultrasound in the Outpatient Setting | Jan 6, 2026 | Covered |
| Policy | Effective | Status of 76802 |
|---|---|---|
| Health Alliance Plan Radiology Code List |
| Aug 1, 2026 |
| Prior auth required |