Medicare AdvantageReimbursementMedium impact
MA00.057, 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 Medicare Advantage policy introduces Multiple Procedure Payment Reduction (MPPR) guidelines specifically for transvaginal and transabdominal ultrasound procedures. This will affect how multiple ultrasound procedures are reimbursed when performed on the same date of service, with reduced payment for secondary procedures.
Action Required
Before March 2, 2026: Billing team must review current ultrasound billing practices and update systems to account for MPPR rules on transvaginal and transabdominal ultrasounds. Update billing software to flag multiple ultrasound procedures on same date for reduced reimbursement calculations. Train staff on new payment reduction guidelines to set proper reimbursement expectations.