Ultrasound Dating Rules

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If dating by ultrasonography performed between 14 0/7 weeks and 15 6/7 weeks of gestation (inclusive) varies from LMP dating by more than 7 days, or if ultrasonography dating between 16 0/7 weeks and 21 6/7 weeks of gestation varies by more than 10 days, the EDD should be changed to correspond with the ultrasonography dating Table 1 .Between 22 0/7 weeks and 27 6/7 weeks of gestation, ultrasonography dating has an accuracy of ± 10-14 days 19 .
Ultrasound Dating Criteria Background Determining the first day of the LMP traditionally is the first step in establishing the estimated date of delivery (EDD) . By convention, the EDD is 280 days after the first day of the LMP . Because this practice assumes a regular menstrual cycle of 28 days, with ovulation occurring on the 14th day after the
ultrasonography dating has an accuracy of ± 10-14 days (19) . If ultrasonography dating between 22 0/7 weeks and 27 6/7 weeks of gestation (inclusive) varies by more than 14 days from LMP dating , the EDD should be changed to correspond with the ultrasonography dating (Table 1) . Date changes for smaller discrepancies (10-14 days) are
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be based on the following rules . 1) Known conception date using reproductive technologies . 2) Use the earliest ultrasound (TA or TV) estimate if between 7 (CRL > 10 mm) and 22+6 weeks of gestation . 3) First trimester US is the most accurate, so whenever possible, get a dating scan . 4) After 23 weeks, can use US or clinical judgement . 5)
Routine 7 week IVF pregnancy ultrasound . If you have completed an IVF cycle and have received a positive pregnancy result at day 16, an internal ultrasound will be performed approximately 5 weeks following your embryo transfer . This ultrasound will confirm the location of your pregnancy and the number, size and heart motion of the embryo(s) .
Current ACOG guidelines recommend changing the EDD when a first-trimester ultrasound differs more than 7 days from the LMP date or more than 10 days between 12 and 20 weeks' gestation .
pregnancy, then one ultrasound can be performed to confirm dates (report one of the following CPT codes: 76801 [plus 76802 if more than one fetus] if a complete ultrasound has not yet been performed, 76815 or 76816 if a complete ultrasound was done previously, or 76817 for a transvaginal ultrasound ) o Maternal risk factors present
date and time of the ultrasound examination, and name of the person(s) who performed the examina-tion and completed the worksheet . Final Report Provided by the Interpreting Provider A signed final report of the ultrasound findings and impression should be included in the patient's medi-cal record and is the definitive documentation of the . . .
statement provides membership with recommendations for the use of ultrasound gels, protective covers, probe cleaning and disinfection . More information may be found in the chapter on ultrasound safety and infection control within the Ultrasound Program Management textbook .7 The American College of Emergency Physicians (ACEP) does not endorse or
3 .4 When filling a reusable bottle, ensure the expiry date on the bulk container the ultrasound gel was originally packaged in has not expired (refer also to 6 .1) . 3 .5 When filling a reusable bottle, do not touch the opening of either dispensing container or bottle with your bare hands .
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Ultrasound Dating Rules

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