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even if you perform an entire AAA assessment and renal artery assessment,
and charge for both, medicare will not reimburse for both performed on the
same day ( even if the pt. is positive for both AAA and RAS) ... this is
what my billers have told me anyway...

On Tue, Feb 8, 2011 at 10:11 AM, Denise Levy <[log in to unmask]> wrote:

> Joel, Renals and mesenteric should not cause a change on laminar flow in
> the aorta unless diseased... However a pet peeve of mine,, Aorta iliac
> should include 3 vel of the aorta, 2 of each iliac prox and mid, and both
> CFA velocities... The iliacs are lengthy and full of disease from the umb
> bifurcation to the groin... Patients for a lower extremity arterial and they
> had an aorta the day before at another facility that is negitive,,,and they
> present with low velocity monophasic waveforms the aorta scan is useless if
> just done for AAA. Iliac aneurysms can occur distal to the orgins and
> stenosis.    This is my concern that we study aorta iliac not just the AAA
> but for PAD as well. I know the IR MDs would love for you to find more
> disease. What are your thoughts.
>
> Denise Levy
> 408 391 0837 <+14083910837>
> RVT, RDMS
> TCD
> [log in to unmask]
>   On Feb 8, 2011 9:43 AM, "Joel D" <[log in to unmask]> wrote:
> >
> > I work for a vascular interventionalists. For our aorto iliac duplex we
> bill 93978 focusing mainly on aneurysm assessment and velocity measures
> through the aorta and both commons. I always look at all the proximal
> branches of the aorta with color per our protocol. Occasionally this will
> lead me to sampling with Doppler in one of these branches. Say I see
> turbulence with color and sample the Renal artery. My Dr. says I should then
> also be circling limited renal for instance if I'm doing this. I've always
> just assumed this is part of the exam and have not been calling it anything
> but that as far as billing. We have a separate billing department who
> process the routers which we fill out. Please enlighten me since I see many
> of you do your own billing. Thanks!
> >
> > Joel
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