icd 10 code for duplex scan of right leg

Full Answer

What is the ICD 10 code for excluded note?

I87.2 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 I87.2 became effective on October 1, 2021. This is the American ICD-10-CM version of I87.2 - other international versions of ICD-10 I87.2 may differ. A type 1 excludes note is a pure excludes.

What is a duplex scan of upper extremity 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.

What is the ICD 10 code for abnormal findings on imaging?

2018/2019 ICD-10-CM Diagnosis Code R93.6. Abnormal findings on diagnostic imaging of limbs. R93.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Why is coding for duplex scans so difficult?

Proper coding and reimbursement of services depend on it. 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.

What is the CPT code for us duplex venous lower extremity?

CPT code 93971 (Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study) for the following: Preoperative examination of potential harvest vein grafts to be used during bypass surgery.

What is a bilateral ultrasound on legs?

This test uses ultrasound to look at the blood flow in the large arteries and veins in the arms or legs. Doppler ultrasonography examines the blood flow in the major arteries and veins in the arms and legs with the use of ultrasound (high-frequency sound waves that echo off the body).

What is the CPT code for lower extremity ultrasound?

Extremity ultrasound (CPT codes 76881 and 76882) is limited to studies of the arms and legs.

What ICD-10 DX code covers CPT 93971?

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).

What is a duplex scan of legs?

Ultrasound is a procedure that uses sound waves to "see" inside your body. An arterial duplex ultrasound uses sound waves to create a color map of the arteries in your legs to identify: Narrowing of your vessels that may be causing leg pain when walking. Resting leg pain.

What is duplex scan of extremity veins?

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.

Does Medicare cover venous duplex ultrasound?

The following is a list of procedures considered reasonable for Medicare reimbursement for the evaluation of new-onset DVT: Duplex scan (93970 or 93971). Doppler waveform analysis including responses to compression and other maneuvers (93965). Impedance plethysmography (93965).

What is the difference between 93880 and 93882?

Remember that a bilateral study which is not complete (i.e., limited) would be classified by CPT code 93882. For evaluation of carotid arteries, use CPT codes 93880, duplex scan of extracranial arteries, complete bilateral study or 93882, unilateral or limited study.

What is the difference between 93922 and 93923?

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 ...

What is the difference between 93970 and 93971?

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.

What is the difference between CPT code 93923 and 93925?

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.

Does 93970 include upper and lower extremities?

Answer: If venous duplex scans of both the upper and lower extremities are performed, you bill 93970 twice if both are bilateral or 93971 twice if unilateral or otherwise limited. It would not be appropriate to report 93970 when, for example, the left arm and the right leg are imaged.

Document Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

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.

Coverage Guidance

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.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33667 Duplex Scan of Lower Extremity Arteries provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.

ICD-10-CM Codes that Support Medical Necessity

The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 93925 and 93926.