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Brenda, 
I'm not a billing expert, but as I understand it, as long as you do a bilateral, multilevel assessment, one can bill 93923.  for example, an ABI with a TBI, is a multilevel study (include PPG, PVR and Doppler at ankle and toes).  So, if you do bilateral, multilevel PVRS with an ABI and Doppler at the ankle, it's a 93923.  Now, the only reason I wouldn't do complete segmental pressures and Doppler is if the ABI and ankle Doppler appear normal and I need to exercise the patient (because the segmental pressures and proximal Doppler must be normal too).

 Matt

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Brenda Strickland
Sent: Friday, May 15, 2009 23:24
To: [log in to unmask]
Subject: Re: Exercise ABI protocol

Correction Matt,
that should have read "our medical director says you cannot bill for 93923 if 
you only perform an ABI w/ full PVR and toe raises"  Any feedback is 
appreciated.  
Thanks
Brenda

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