Dawn, You will probably get a ton of replys for this question. I did. And 
unfortunately it seems to be split 50-50. When I bill for an ADUS(93926 or 
93925) as part of our protocol we always include an ABI. (Pressures only in 
the ankles and brachials). One of my physicians(out of 10) wants PVR's in 
addition to the complete LE arterial doppler and pressures that we give him 
and he wants us to bill for it(93922) We have not been getting denials from 
Medicare. And in truth we are performing a more detailed exam and utilizing 
extra equipment so I can't disagree with him there. So long story short, what I 
asked him to do was provide me with a protocol for performing the additional 
PVR's so that should, God forbid, I would ever need to defend what some 
people might think is an excessive practice of ordering and billing I would have 
it. Check out the archives there is a lot of info already on here regarding 
physiologics.  
Good Luck, Nancy

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