Procedure code and Description Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral. 93925 A complete duplex scan of the lower extremity arteries includes examination of the full length of the common femoral, superficial femoral and popliteal arteries.
A complete study of upper extremity arteries or bypass grafts (93930 Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study) consists of an examination of the subclavian artery, axillary artery, and brachial artery in both extremities.
Performance of both non-invasive extracranial arterial studies (CPT code 93880 or 93882) and non-invasive evaluation of extremity arteries (CPT code 93925 or 93926) during the same encounter is not appropriate as a general practice or standing protocol, and therefore, would not generally be expected.
If the examined single vessel is not studied through its entire course, assign the limited code 93979 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study.
Coding & Documentation Tips for Billing Vascular Duplex Ultrasound StudiesCPT CodeDuplex Ultrasound Study93925Lower extremity arteries or arterial bypass grafts; complete bilateral study93926Lower extremity arteries or arterial bypass grafts; unilateral or limited study13 more rows
Arterial 93925 & ABI 93922. Combination Ultrasound Exam.
Note: Use ICD-10-CM code Z09 only to describe a limited venous duplex (CPT code 93971) performed within 72 hours of a saphenous vein ablation procedure (CPT codes 36475, 36476, 36478, or 36479).
Other FatigueCode R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness.
Extremity ultrasound (CPT codes 76881 and 76882) is limited to studies of the arms and legs.
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 ...
On codes 93970 and 93971, the distinction is greater than just unilateral or bilateral. 93970 is defined as a complete bilateral study, and as such must meet this definition exactly to be reported. 93971 is a unilateral or limited study, and can be used for a limited bilateral service as well as a unilateral.
For example, when an uninterpretable non-invasive physiologic study (CPT code 93922, 93923 or 93924) is performed which results in performing a duplex scan (CPT codes 93925 or 93926), only the duplex scan should be billed.
Venous duplex scan is a painless exam that uses high-frequency sound waves (ultrasound) to capture images of internal views of veins that return blood to the heart. During an upper extremity venous duplex scan, the veins in your neck, shoulders, arms and wrists are viewed.
9: Fever, unspecified.
ICD-10 code R51 for Headache is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-Code M25. 50 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Pain in Unspecified Joint.
Vascular studies include patient care required to perform the studies, supervision of the studies and interpretation of study results with copies for patient records of hard copy output with analysis of all data, including bidirectional vascular flow or imaging when provided .
If it is obvious from the findings of the history and physical examination that the patient is going to proceed to angiography, then non-invasive vascular studies are not medically necessary. It is also expected that the studies are not redundant of other diagnostic procedures that must be performed.
Note: Reimbursement of physiologic testing will not be allowed after a duplex scan has been performed. Since the signs and symptoms of arterial occlusive disease and venous disease are so divergent, the performance of simultaneous arterial and venous studies during the same encounter should be rare.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Duplex Scan of Lower Extremity Arteries. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.
Noninvasive peripheral arterial studies include two types of testing, noninvasive physiologic studies and duplex scans. Noninvasive physiologic studies are functional measurement procedures that include Doppler ultrasound studies, blood pressure measurements, transcutaneous oxygen tension measurements or plethysmography.
Duplex scans combine conventional ultrasound with Doppler imaging. While conventional ultrasound imaging views the structure of blood vessels, Doppler ultrasound views the movement and speed of blood through these vessels.
Duplex ultrasound is a non-invasive evaluation of blood flow in the arteries and veins comprised of real-time images integrat ing B-mode, two-dimensional vascular structure, Doppler spectral analysis, and color flow Doppler imaging.#N#Duplex scans combine conventional ultrasound with Doppler imaging. While conventional ultrasound imaging views the structure of blood vessels, Doppler ultrasound views the movement and speed of blood through these vessels. By combining these two methods of imaging, duplex scans produce color-coded images that show physicians where blood flow is blocked, as well as the extent of a blockage. Duplex scans may be used, for example, to diagnose peripheral vascular or arterial disease.
It is important to be aware of several requirements outlined in the CPT® code book for reporting duplex studies. CPT® guidelines explain that non-invasive vascular studies include patient care required to perform non-invasive vascular studies and include supervision of the studies and interpretation of the study results.
Coding for duplex scans can be tricky because provider reports do not always include the necessary documentation. Here’s what you need to know about common duplex exams and the documentation challenges they present.
If any of the required elements are not documented, report instead 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study.
The deep femoral and tibioperoneal arteries may be imaged, if indicated , but it is not required for a complete exam. If an evaluation is performed of a lower extremity arterial bypass graft, the study must include the complete course of the lower extremity arterial bypass graft.
When Doppler is used simply to determine if a structure is vascular, it does not constitute vascular analysis. A full and complete color Duplex with waveform analysis must be performed and documented. Note: Codes for non-invasive physiologic studies (93922-93924) mention “Doppler” in their code descriptors.