Derek,

Try this website. This website displays all LMRP by carrier. Just pick your
state or carrier. http://www.cms.hhs.gov/mcd/search.asp?

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Derek Butler
Sent: Monday, March 22, 2004 7:57 AM
To: [log in to unmask]
Subject: Re: ICD-9 443.9


Hello Gene,

Thanks for the information. Under the links regarding the ICD-9 codes that
are not covered, a user ID and Password is required. I have searchedthe home
page to no avail trying to locate the "create user / password proces".

Any suggestions ?

Derek

-----Original Message-----
From: Gene A Doverspike RVT [mailto:[log in to unmask]]
Sent: Saturday, March 20, 2004 12:42 AM
To: [log in to unmask]
Subject: Re: ICD-9 443.9


Derek,

Assuming you are asking about Medicare coverage in New Hampshire ... The
LMRP (Local Medical Review Policy) is actually somewhat vague as far as
which ICD-9 codes are actually reimburseable, follow the link below to view
the entire document.  In a nutshell here is what it says:

INDICATIONS OF COVERAGE:

Non-invasive vascular studies are considered reasonable and necessary when
one of the following criteria is met:

* The patient has signs or symptoms of arterial or venous insufficiency or
blockage * The ordering physician has a reasonable expectation that the
study outcomes will impact clinical decision-making in the medical
management of the patient

Non-invasive vascular studies are not considered reasonable and necessary
when one of the following criteria exist:

* The patient does not have signs and symptoms of arterial or venous
disease, or The ordering physician does not have a reasonable expectation
that the study outcomes will impact clinical decision- making in the medical
management of the patient, or

The study is used for screening in the absence of symptoms or clinical
indications, e.g., annual physical examinations, or


http://www.medicarenhic.com/ne_prov/lmrp/noninvasR5.htm


Hope this is of help.

Gene Doverspike, RVT
University Hospitals of Cleveland
On Fri, 19 Mar 2004 15:03:46 -0500, Derek Butler <[log in to unmask]> wrote:

>Hello,
>
>Question: Is the ICD-9 443.9 (PVD) Code for ordering a Non Invasive
>Arterial Exam Legit ?
>
>I have been recieving order forms and all diagnosis's are "PVD". When
>notifying the office, the nurses are adament that it is covered.
>Billing dept. is unsure.
>
>I thought PVD was too ambiguous to be recognized. The ICD-9 code has
>(intermittant claudication) in parenthesis.
>
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