Section 405IAC5-27-6. Sonography

   (a) Medicaid reimbursement is available for sonography performed during pregnancy when warranted by one (1) or more of the following conditions:

(1) Early diagnosis of ectopic or molar pregnancy.

(2) Placental localization associated with abnormal bleeding.

(3) Fetal postmaturity syndrome.

(4) Suspected multiple births.

(5) Suspected congenital anomaly.

(6) Polyhydramnios or oligohydramnios.

(7) Fetal age determination if necessitated by:

(A) discrepancy in size versus fetal age; or

(B) lack of fetal growth or suspected fetal death.

(8) Guide for amniocentesis.

  (b) Reimbursement is available for sonography for fetal age determination prior to therapeutic abortions when the age of the fetus cannot be determined by the patient's history and physical examination and the information is essential for the selection of the abortion method. (Office of the Secretary of Family and Social Services; 405 IAC 5-27-6; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3352; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA)