Ultrasonic water meters have current widespread problems of poor site adaptability, low measurement accuracy, and poor stability. A high-precision intelligent ultrasonic water meter with selfdiagnosis function and adaptive technology was proposed in this paper, which is focus on improving the measurement accuracy and repeatability of the small pipe diameters. The hardware circuit design of the ultrasonic water meter studied in this paper adopts the low-power STM32L053 microcontroller with Cortex-M0 core architecture and the high-precision 11 ps time resolution timing chip TDC-GP30 to complete the metering function. The software combines pulse width ratio and amplitude voltage measurement technology to make the water meter have self-diagnosis function, avoid measurement errors caused by accidental factors, improve adaptability and measurement accuracy, also the application of adaptive measurement period method is used to improve measurement repeatability. The software adopts the moving average filtering algorithm, which effectively reduces the fluctuation of the time-of-flight(ToF) difference and improve the measurement accuracy of the flow point in the low zone (between the minimum flow and the boundary flow). The experimental verification results show that the accuracy of the small-caliber ultrasonic water meter can reach within ± 1.5 %, and the repeatability is less than 0.5 %. In the face of fluid disturbances, adaptive technology is used in this water meter to adjust the measurement period and carry out self-diagnostic function research, and automatically respond to deal with abnormal faults, thereby realizing the demand for intelligence.INDEX TERMS High-precision intelligent small-diameter ultrasonic water meter, Self-diagnosis function, Adaptive measurement period, Moving average filtering algorithm.