93923 is the CPT code for complete physiologic testing of lower
extremities without exercise... So I am not even sure how you would
perform that with a duplex!!! unless you take blood pressure while
scanning the vessels which is really unpractical... It usually
includes segmental pressures, PVR and Doppler waveforms analysis (the
only thing you can really do with the Duplex). If you really are just
scanning the arterial system there are other codes to use like 93925
As for the exercise or other maneuvers, you need to use 93924 for
lower extremities which include the tests at rest AND post exercise.
Hope this helped.
Quoting "G. Bell, RVT" <[log in to unmask]>:
> Trying to resolve some disputes:
> 1) In CA, is a 93923 Medicare reimbursable if performed on an imager, or must
> it be performed on separate equipment with analog waveforms?
> 2) Additionally, to be reimbursed must it include provocative maneuvers
> (unless contraindicated?)
> 3) From a diagnostic viewpoint, is it ever unnecessary to perform provocative
> maneuvers? When would you NOT do them?
> Or, can someone direct me to information regarding #s 1 and 2?
> Thanks in advance.
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