Appendix 1: Ultrasound scan codes and indications
Appendix 1 for the New Zealand Obstetric Ultrasound Guidelines.
Current codes for claiming for ultrasound scans through the New Zealand Public Health and Disability Act 2000 Primary Maternity Services Notice 2007.
Code | Clinical indication | Comment |
---|---|---|
TA | Threatened abortion | Scan at time of bleeding. Serial scans may be necessary if bleeding persists. |
EP | Suspected ectopic pregnancy | For example, previous tubal surgery, PID or ectopic. Suggestive symptoms (for example, abdominal pain). |
PM | Pelvic mass in pregnancy | Any palpable abnormality in early pregnancy. |
UD | Uterus not equal to dates | If discrepancy >4 weeks, or discrepancy in amniotic fluid. |
BA | Before booking chorionic villus sampling (CVS) or amniocentesis or Nuchal Translucency | When unsure dates. |
CT | Consideration of termination | |
NT | Dating and early evaluation for chromosomal abnormality | Nuchal translucency assessment at 11–13+6 weeks, assessment for gestational age, diagnosis of multiple pregnancy. |
NF | Early evaluation for chromosomal abnormality follow-up | In cases where the first scan was technically unsuccessful. |
AN | Anatomy | Scan to confirm dates, assess foetal anatomy and placental position. Performed at 18–20 weeks ideally. |
AF | Anatomy follow-up | In cases where the first scan was technically unsuccessful. |
GR | Suspected growth abnormality (IUGR or macrosomia) | Clinical suspicion of abnormal growth of foetus (IUGR or macrosomia) or abnormal volume of amniotic fluid. |
GF | Suspected growth abnormality (IUGR or macrosomia) follow-up | To assess growth trend (2 weeks after GR scan). |
PL | Check placenta | To check placental site at around 36 weeks. |
AH | Antepartum haemorrhage | Bleeding in pregnancy. If serial scans are required, refer to secondary maternity services. |
AP | Abdominal pain | Abdominal pain in pregnancy. |
MP | Malpresentation | To assess fetal position and size after 36 weeks. |
FC | Suspected foetal compromise | Significant reduction in foetal movements. |
FD | Suspected intrauterine foetal death | |
PP | Maternal postpartum | For suspected retained products or postpartum bleeding. |
Source: Department of Internal Affairs 2007