Thanks for the info but does anyone have an answer to my original question and that was can you obtain manual brachial and ankle pressures (with a stethoscope or automatic BP). Obtain and record Doppler velocities and images with the u/s machine at the ankle and code it 93922(Single level ABI)? Before you all go crazy ~ please let me state for the record WE DO NOT DO THIS HERE. We are an ICAVL accredited lab, all of my technologists are RVT's and we follow the ICAVL standards to the letter. I did not think this was acceptable but she pointed out to me that there was no specific language stating you couldn't do this. Thankfully we have the proper equipment here so we don't have to do this but I said I would ask - so I'm asking. Does it sound kosher? Oh, and you can add my 2 cents I think all labs should be ICAVL and the techs should be RVT's to be reimbursed for Vascular studies. I think it absolutely makes a difference in the standard of care the patients receive. But that's just my personal opinion. To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html