icd 9 code for abi testing

Codes 93922, 93923, and 93924 may involve functional measurement procedures, including ankle/brachial index measurement (ABI), blood pressure (BP) and physiologic waveforms, segmental pressure measurement, plethysmography, and stress testing.

Full Answer

What is the CPT code for Abi with pad?

Valid Use of ABI with CPT Code 93922 The CPT code 93922 should be used for ABI testing for patients who are at risk for or have been diagnosed with cardiovascular disease, including PAD (peripheral artery disease) or PVD (peripheral vascular disease).

What is the CPT code for brachial index test?

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 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.

Is the Abi test valid?

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

What is the CPT code for non invasive peripheral arterial studies?

CPT 93922 – 93923, 93925 , 93970, 93971 – Non-Invasive Peripheral Arterial Studies 1 Volume plethysmography 2 Bidirectional doppler waveform 3 Ankle brachial indices (ABI) 4 Transcutaneous oxygen tension measurement (SP-02)

What ICD 10 code covers ABI?

Arterial 93925 & ABI 93922. Combination Ultrasound Exam.

How do you code ABI?

CPT CODES. The ABI study is reimbursable using CPT code 93922, 93923. The sudomotor study is reimbursable using CPT code 95923.

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 ...

Does Medicare pay for ABI test?

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.

What is the CPT code for lower extremity arterial Doppler?

CPT codes 93922 and 93923 are assigned for bilateral upper or lower extremity arterial assessments to check blood flow in relation to a blockage. These are typically performed to establish the level and/or degree of arterial occlusive disease.

What is ABI ultrasound?

An ankle brachial index, or ABI, is an ultrasound exam using high frequency sound waves and a blood pressure machine to measure the arterial blood flow pressure difference between your arms and legs and analyze the quality of blood flow in your ankle arteries.

Can 93923 and 93880 be billed together?

Performance of both non-invasive extracranial arterial studies (CPT code 93880 or 93882) and non-invasive evaluation of extremity arteries (CPT codes 93922, 93923, 93924) during the same encounter is not appropriate as a general practice or standing protocol, and therefore, would not generally be expected.

Does Medicare cover CPT code 93922?

CPT 93922 Coverage In general, most Medicare carriers consider an “ABI” exam without blood-flow waveforms to be part of the general physical examination, and hence do not reimburse for “ABI's” unless waveform analysis is included. CPT 93922 provides coverage for a single-level lower extremity physiologic study.

What is the CPT code for arterial Doppler?

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.

Does Medicare Part B cover lab tests?

Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers medically necessary clinical diagnostic laboratory tests, when your doctor or provider orders them. You usually pay nothing for Medicare-covered clinical diagnostic laboratory tests.

What is procedure code 93925?

CPT® Code 93925 in section: Duplex scan of lower extremity arteries or arterial bypass grafts.

How much is ABI test?

On MDsave, the cost of an Ankle-Brachial Index Test ranges from $137 to $324. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

General 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

Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS transmittals.

Article Guidance

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).

ICD-10-CM Codes that Support Medical Necessity

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.

Bill Type Codes

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.

Revenue Codes

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.

Who orders diagnostic tests?

Diagnostic tests must be ordered by the physician who is treating the beneficiary and the results used in the management of the beneficiary’s specific medical problem. Services are deemed medically necessary when all of the following conditions are met: Signs/symptoms of ischemia or altered blood flow are present;

What is noninvasive peripheral arterial vascular study?

Non-invasive peripheral arterial vascular studies utilize ultrasonic Doppler and physiologic studies to assess the irregularities in blood flow in arterial systems. These noninvasive peripheral arterial vascular studies include the patient care required to perform the studies, supervision of the studies, and interpretation of study results, with copies for patient records of test results and analysis of all data, including bi-directional vascular flow or imaging when provided.

Is bilateral limb edema a sign of congestive heart failure?

Bilateral limb edema in the presence of signs and/or symptoms of congestive heart failure, exogenous obesity and/or arthritis should rarely be an indication; High risk patients: hip surgery, multiple trauma, malignancy, etc; Follow-up for patients with known venous thrombosis; and.

Document Information

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

CMS National Coverage Policy

Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS transmittals.

Coverage Guidance

Overview Non-invasive peripheral arterial vascular studies utilize ultrasonic Doppler and physiologic studies to assess the irregularities in blood flow in arterial systems.