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.
ICD-10-CM Diagnosis Code S45.209 Unspecified injury of axillary or brachial vein, unspecified side Unsp injury of axillary or brachial vein, unspecified side ICD-10-CM Diagnosis Code S45.219S [convert to ICD-9-CM]
Right brachial artery laceration ICD-10-CM Diagnosis Code S45.112A [convert to ICD-9-CM] Laceration of brachial artery, left side, initial encounter Left brachial artery laceration
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
Arterial 93925 & ABI 93922. Combination Ultrasound Exam.
93922. Use procedure code 93922 as the default code for ABI studies.
ICD-10 code Z13. 6 for Encounter for screening for cardiovascular disorders is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Peripheral Artery Disease (ICD-10 code I73. 9) is estimated to affect 12 to 20% of Americans age 65 and older with as many as 75% of that group being asymptomatic (Rogers et al, 2011). Of note, for the purposes of this clinical flyer the term peripheral vascular disease (PVD) is used synonymously with PAD.
Assessment of the Ankle brachial indices (ABI) only is considered part of the physical examination and is not covered according to Title XVIII of the Social Security Act section 1862 (a) (7) which excludes routine physical examinations and services from Medicare coverage.
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.
F17. 210 Nicotine dependence, cigarettes, uncomplicated - ICD-10-CM Diagnosis Codes.
9.
Encounter for screening for other diseases and disorders Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
I73. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I73. 9 became effective on October 1, 2021.
Codes from subcategory 440.2x are considered a hierarchy. In other words, if the patient has atherosclerotic peripheral vascular disease (ASPVD) with gangrene, it is assumed the patient also has an ulcer.
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.
According to the Medicare LCD policy for non-invasive vascular testing, there are no specified limitations about billing an ABI with limited ultrasound. Reviewing the CCI edits for the two CPT codes listed, CPT 76882 is considered to be a component of CPT 93922 but may be reimbursed separately with modifier -59.
CPT 93922 is defined as "non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral (e.g., ankle/brachial indices, Doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement)." CPT 93923 is defined as "non-invasive physiologic studies of upper or ...
Some consultants believe that if a duplex study such as 93925 is done and ankle/brachial indices are measured, it is appropriate to bill both 93925 and 93922 or 93923. This is justified because the equipment for noninvasive physiologic studies is different than what is required for a duplex study.
I87. 332 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I87. 332 became effective on October 1, 2021.
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.