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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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