2021 Coding and Reimbursement Guide Ankle Brachial Index CPT® Code: 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries. CPT® Code: 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels.
The Ankle Brachial Index test is used to assess blood flow in upper and/or lower extremities with regards to a possible arterial blockage or occlusion. The test is quick, painless, and inexpensive. ABI compares blood pressure in the arms compared to blood pressure in the feet to determine how well the blood is flowing in the extremities.
CPTCode: 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels. CPTCode: 93924 Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing. Possible ICD-10-CM Diagnosis Codes for Procedure Code 93922, 93923 and 93924
Diagnosis Index entries containing back-references to G54.0: Angiospasm (peripheral) (traumatic) (vessel) I73.9 ICD-10-CM Diagnosis Code I73.9 Compression nerve G58.9 - see also Disorder, nerve ICD-10-CM Diagnosis Code G58.9 Degeneration, degenerative brachial plexus G54.0 Disorder (of) - see also Disease nerve G58.9 ICD-10-CM Diagnosis Code G58.9
CPT CODES. The ABI study is reimbursable using CPT code 93922, 93923. The sudomotor study is reimbursable using CPT code 95923.
The ankle brachial index, or ABI, is a simple test that compares the blood pressure in the upper and lower limbs. Health care providers calculate ABI by dividing the blood pressure in an artery of the ankle by the blood pressure in an artery of the arm. The result is the ABI.
ICD-10 code: Z13. 6 Special screening examination for cardiovascular disorders.
ICD-10 code I73. 9 for Peripheral vascular disease, unspecified is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
The ABI is performed by measuring the systolic blood pressure from both brachial arteries and from both the dorsalis pedis and posterior tibial arteries after the patient has been at rest in the supine position for 10 minutes. The systolic pressures are recorded with a handheld 5- or 10-mHz Doppler instrument.
Peripheral Arterial Disease The traditional method of ABI calculation is to use the highest arterial pressure in each limb to calculate the ABI (Fowkes et al., 2013).
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
F17. 210 Nicotine dependence, cigarettes, uncomplicated - ICD-10-CM Diagnosis Codes.
1,2 “Peripheral arterial disease (PAD),” “peripheral vascular disease (PVD)”, “spasm of artery” and “intermittent claudication” are coded as I73. 9. It is important to note that this code excludes atherosclerosis of the extremities (I70. 2- – I70.
Peripheral artery disease (PAD) is often used interchangeably with the term “peripheral vascular disease (PVD).” The term “PAD” is recommended to describe this condition because it includes venous in addition to arterial disorders.
A common type of PVD is venous insufficiency, which occurs when the valves in the leg veins don't shut properly during blood's return to the heart. As a result, blood flows backward and pools in the veins.
Conclusion. A primary reference for normal ankle SBP was suggested as 100-165 mmHg in the young and 110-170 mmHg in the middle-elderly subjects.
Typically, you lie on a table on your back, and a technician measures your blood pressure in both arms and both ankles, using an inflatable cuff and a hand-held ultrasound device that's pressed on your skin.
Clinical Information. A brachial plexus disorder characterized by regional paresthesia, pain and muscle weakness, and limited movement in the arm or hand. A condition marked by numbness, tingling, pain, weakness, or limited movement in the arm or hand.
The 2022 edition of ICD-10-CM G54.0 became effective on October 1, 2021.
spondylosis ( M47.-) A brachial plexus disorder characterized by regional paresthesia, pain and muscle weakness, and limited movement in the arm or hand. A condition marked by numbness, tingling, pain, weakness, or limited movement in the arm or hand.
The American Medical Association maintains the CPT code 93922 as a valid medical procedure code described as Non-Invasive Extremity Arterial Studies (Including digits).
The ABI test is recognized as valid by the AMA and Medicare for patients with risk factors that include: Family history of cardiovascular disease or peripheral artery disease. Smokers or patients who smoked for a long period of time and quit. High blood pressure. Elevated cholesterol levels.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS transmittals.
The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD. Documentation Adequate documentation is essential for high-quality patient care and to demonstrate the reasonableness and medical necessity of the study (ies).
When CPT code 93926 is used to perform a limited study for a follow-up of bypass surgery, use the diagnosis code Z48.89 (encounter for other specified surgical aftercare). For codes in the table below that require a 7th character, letter A initial encounter, D subsequent encounter or S sequela may be used.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.