I read it had to be in the first year as a member... ??

From: Bill Johnson <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, February 15, 2011 2:41:56 PM
Subject: Re: AAA screening

Bill Johnson, Port Townsend, WA
This might be of help.  Disclosure: I wrote this with input from others, and I presently work for Pacific Vascular.  Regardless, I think it will answer your questions, especially since this issue is not directly addressed in many places.
The main issue is timing.  It must be ordered when the patient gets their first Medicare visit.  I do not think that previous scans for AAA matter, but timing is everything.  I would suggest you make sure your referring base understands this.  I would also say this is one of the few "screening" exams Medicare approves and pays for, so I think the need is obvious, and it is well documented.  It is after all about saving lives.  Just be carefull about those men who only smoked 97 cigarettes...  :-(  Give me a break!
Best regards, Bill

On Tue, Feb 15, 2011 at 12:09 PM, Kerrie Cumming <[log in to unmask]> wrote:
Thank you for clearing up my confusion do you know this is the first AAA scan that the Patient had ever had. Some Patients are good historians but others are not.  It makes sense now that the ordering physician who does the initial Medicare physical would be the ordering Doctor.  I was so baffled about how they would regulate the ordering of the screenings. Thanks!
Kerrie Cumming R.V.T, R.D.M.S.

--- On Tue, 2/15/11, Lisa Kurtz <[log in to unmask]> wrote:

From: Lisa Kurtz <[log in to unmask]>
Subject: Re: AAA screening Date: Tuesday, February 15, 2011, 12:00 PM

The code for Medicare AAA screening is G0389.  The indications are:

        Has a family history of AAA

        Is a man age 65 to 75 who has smoked at least 100 cigarettes in his lifetime

        Is a beneficiary, who manifests other risk factors in a beneficiary category recommended for screening by the United States Preventative Services Task Force regarding AAA, as specified by the Secretary of Health and Human Services, through the national coverage determination process.



This AAA screening can only be ordered by the physician who is doing the patient's Welcome to Medicare physical and must be done within the first six months of the physical.  Our lab evaluates the entire abdominal aorta as well as the iliac arteries and if they do have an AAA, we check the common femoral and popliteal artery dimensions.  However, since this law has passed (back in 2007), I think we have done two.  It is unfortunate that the vast majority of people who go on Medicare don't get the benefit of this screening. 



Lisa Kurtz, RVT

Supervisor, Vascular Lab

PPG/Fort Wayne Cardiology

1819 Carew Street

Fort Wayne, IN 46805

(260) 481-4889

(260) 481-4706 (fax)

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Barb Lemon
Sent: Tuesday, February 15, 2011 2:51 PM
To: [log in to unmask]
Subject: AAA screening

What is the code for the AAA one time Medicare screening exam?  What are appropriate indications, or is it just done as part of Medicare enrollment? 

What type of protocol do most people follow for this, full aorta duplex or just prox mid distal measurements? 

I suddenly have a cardiologist gone wild over these and have 10 ordered in the next few days! 


Barbara Lemon, RVT RDMS

Vascular Lab Coordinator



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