Q&A

What CPT code is 93923?

What CPT code is 93923?

CPT® Code: 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels.

What is the difference between CPT code 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 cover ankle brachial index?

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.

Is 93922 covered by Medicare?

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.

Can CPT 93923 and 93925 be billed together?

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.

Is ABI test covered by Medicare?

Can you bill for ABI?

ABI studies or ankle-brachial index studies are typically coded with CPT codes 93922, 93923, and 93924. NIA does not manage these requests. 5. An Abdominal ultrasound, CPT code 76770, can be considered a complete study when being used for urinary indications and must image the kidneys and bladder.

Does Medicare pay for 93971?

Non-invasive peripheral venous studies are covered by Medicare when provided in the following places of service: Physician’s office and physician-directed clinic. Outpatient and inpatient hospital.