Yes, ultrasound services are eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA) when used to diagnose, monitor, or treat a medical condition or pregnancy.
Why Is Ultrasound FSA/HSA Eligible?
Ultrasound is a medically necessary imaging tool used to evaluate internal organs, monitor fetal development, and help diagnose or rule out health conditions. It qualifies as a medical expense under IRS Code Section 213(d), which allows for the reimbursement of diagnostic and preventive procedures.
According to IRS Publication 502, diagnostic services—such as imaging tests like ultrasounds—are eligible when ordered by a healthcare provider as part of a medical evaluation or treatment plan.
FSA- and HSA-eligible ultrasound procedures may include:
Pregnancy ultrasounds (routine and high-risk monitoring)
Diagnostic ultrasounds for abdominal pain, kidney issues, or heart conditions
Musculoskeletal ultrasounds for joint or soft tissue evaluation
Pelvic or transvaginal ultrasounds for gynecologic or urologic concerns
- Vascular ultrasounds (e.g., carotid Doppler, venous studies)
What’s Not Covered?
The following ultrasound-related expenses are not eligible:
Elective or non-medically necessary ultrasounds (e.g., 3D/4D keepsake ultrasounds not ordered by a physician)
Services performed by unlicensed or non-medical providers
Costs for images or videos provided solely for personal or entertainment purposes
To be eligible, the ultrasound must be prescribed or recommended by a healthcare provider for a specific medical reason.
How to Use Your FSA or HSA for Ultrasound Services
You can use your FSA or HSA to pay for ultrasound services by:
Using your FSA/HSA card at the provider’s office or imaging center
Requesting itemized documentation showing the type of ultrasound and medical purpose
Retaining medical records and receipts in case your plan administrator requests verification
For complete eligibility details, refer to IRS Publication 502.
