CommercialReimbursementMedium impact
00.01.72, Multiple Procedure Payment Reduction (MPPR) Guidelines for Transvaginal and Transabdominal Ultrasounds
Independence Blue Cross·OB-GYN, Radiology, Diagnostic Imaging·Claims & Billing
Effective date
Mar 2, 2026
We identified it
Jun 19, 2026
Summary
A new policy establishes Multiple Procedure Payment Reduction (MPPR) guidelines for transvaginal and transabdominal ultrasounds, which will reduce reimbursement when multiple ultrasound procedures are performed on the same date of service. This affects how commercial plans will pay for concurrent ultrasound services.
Action Required
Before March 2, 2026: Billing team must review and understand MPPR guidelines for ultrasound procedures. Update billing workflows to account for reduced reimbursement when multiple transvaginal and transabdominal ultrasounds are performed on the same date. Schedule staff training on new payment reduction calculations for commercial claims.