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UVMFLOWNET  February 2001

UVMFLOWNET February 2001

Subject:

Re: CPT coding for vascular testing

From:

"Franklin W. West" <[log in to unmask]>

Reply-To:

UVM Flownet <[log in to unmask]>

Date:

Thu, 8 Feb 2001 14:07:41 -0800

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (120 lines)

The noninvasive vascular CPT codes a few others that might be of interest:

36140   Introduction of needle or intracatheter;      extremity artery

Diagnostic Ultrasound (76506-76999)
Definitions
A-mode implies a one-dimensional ultrasonic measurement procedure.
M-mode implies a one-dimensional ultrasonic measurement procedure with
movement of the trace to record amplitude and velocity of moving
echo-producing structures.
B-scan implies a two-dimensional ultrasonic scanning procedure with a
two-dimensional display.
Real-time scan implies a two-dimensional ultrasonic scanning procedure with
display of both two-dimensional structure and motion with time.

76778   Echography of transplanted kidney, B-scan and/or real time with image
documentation, with or without duplex Doppler studies
76936   Ultrasound guided compression repair of arterial pseudo-aneurysm or
arteriovenous fistulae (includes diagnostic ultrasound evaluation,
compression of lesion and imaging)
76942   Ultrasonic guidance for needle placement (eg, biopsy, aspiration,
injection, localization device), imaging supervision and interpretation

Non-Invasive Vascular Diagnostic Studies (93875-93990)

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.
The use of a simple hand-held or other Doppler device that does not produce
hard copy output, or that produces a record that does not permit analysis of
bidirectional vascular flow, is considered to be part of the physical
examination of the vascular system and is not separately reported.
Duplex scan describes an ultrasonic scanning procedure with display of both
two-dimensional structure and motion with time and Doppler ultrasonic signal
documentation with spectral analysis and/or color flow velocity mapping or
imaging.

93875   Noninvasive physiologic studies of extracranial arteries, complete
bilateral study (eg, periorbital flow direction with arterial compression,
ocular pneumoplethysmography, Doppler ultrasound spectral analysis)
93880   Duplex scan of extracranial arteries; complete bilateral study
93882   Duplex scan of extracranial arteries; unilateral or limited study
93886   Transcranial Doppler study of the intracranial arteries; complete
study
93888   Transcranial Doppler study of the intracranial arteries; limited study
93922   Noninvasive physiologic studies of upper or lower extremity arteries,
single level, bilateral (eg, ankle/brachial indices, Doppler waveform
analysis, volume plethysmography, transcutaneous oxygen tension measurement)
93923   Non-invasive physiologic studies of upper or lower extremity arteries,
multiple levels or with provocative functional maneuvers, complete bilateral
study (eg, segmental blood pressure measurements, segmental Doppler waveform
analysis, segmental volume plethysmography, segmental transcutaneous oxygen
tension measurements, measurements with postural provocative tests,
measurements with reactive hyperemia)
93924   Non-invasive physiologic studies of lower extremity arteries, at rest
and following treadmill stress testing, complete bilateral study
93925   Duplex scan of lower extremity arteries or arterial bypass grafts;
complete bilateral study
93926   Duplex scan of lower extremity arteries or arterial bypass grafts;
unilateral or limited study
93930   Duplex scan of upper extremity arteries or arterial bypass grafts;
complete bilateral study
93931   Duplex scan of upper extremity arteries or arterial bypass grafts;
unilateral or limited study
93965   Non-invasive physiologic studies of extremity veins, complete
bilateral study (eg, Doppler waveform analysis with responses to compression
and other maneuvers, phleborheography, impedance plethysmography)
93970   Duplex scan of extremity veins including responses to compression and
other maneuvers; complete bilateral study
93971   Duplex scan of extremity veins including responses to compression and
other maneuvers; unilateral or limited study
93975   Duplex scan of arterial inflow and venous outflow of abdominal,
pelvic, scrotal contents and/or retroperitoneal organs; complete study
93976   Duplex scan of arterial inflow and venous outflow of abdominal,
pelvic, scrotal contents and/or retroperitoneal organs; limited study
93978   Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass
grafts; complete study
93979   Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass
grafts; unilateral or limited study
93980   Duplex scan of arterial inflow and venous outflow of penile vessels;
complete study
93981   Duplex scan of arterial inflow and venous outflow of penile vessels;
follow-up or limited study
93990   Duplex scan of hemodialysis access (including arterial inflow, body of
access and venous outflow)



>>> [log in to unmask] 02/05/01 03:11PM >>>
Does anyone have a list of the best CPT codes to use for each of the various
studies done in a typical Vascular Laboratory?  The recent discussion
regarding billing for color flow exams has resulted in some confusion.
Someone who knows and posts these codes would be providing a great service
to the rest of us.  Thanks.

Sandy Olson, RVT
[log in to unmask]




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