Print

Print


Really....are they really "toe-ups"?   Come on guys, do you stand there and
watch your patients raise and lower their toes?
The maneuver is called heel raises.
Not getting' on you Steve....

William O'Keefe
St. Mary's Hospital
Heart & Vascular Center
Duluth, Minnesota





On Wed, Sep 3, 2014 at 8:47 PM, Steven Knight <[log in to unmask]>
wrote:

> I don't believe that the provacative maneuvres mentioned in the 93923 CPT
> description refer to toe ups but to thoracic outlet testing. To be safe, I
> would stick to 93922 (single level).
>
> Steve Knight BSc RVT RDCS
> CVI Vascular Lab
> Division of Vascular and Endovascular Surgery
> Beth Israel Deaconess Medical Center
> 110 Francis Street, Ste 5B
> Boston, MA
> 02215
>
> Direct line: 617-632-9962
> [log in to unmask]
> ________________________________________
> From: UVM Flownet [[log in to unmask]] On Behalf Of Nancy Williams [
> [log in to unmask]]
> Sent: Wednesday, September 03, 2014 3:24 PM
> To: [log in to unmask]
> Subject: Re: ABI WITH EXERCISE
>
> 93923 actually reads: Complete bilateral noninvasive physiologic studies
> of upper or lower extremity arteries, 3 or more levels (eg, for lower
> extremity: ankle/brachial indices at distal posterior tibial and anterior
> tibial/dorsalis pedis arteries plus segmental blood pressure measurements
> with bidirectional Doppler waveform recording and analysis, at 3 or more
> levels, or ankle/brachial indices at distal posterior tibial and anterior
> tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3
> or more levels, or ankle/brachial indices at distal posterior tibial and
> anterior tibial/dorsalis pedis arteries plus segmental transcutaneous
> oxygen tension measurements at 3 or more levels), or single level study
> with provocative functional maneuvers (eg, measurements with postural
> provocative tests, or measurements with reactive hyperemia)
>
> We utilize the 93923 code for these ABI’s with toe raises (provocative
> maneuvers) as well.
>
> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Audrey
> Fleming
> Sent: Wednesday, September 03, 2014 3:13 PM
> To: [log in to unmask]
> Subject: Re: ABI WITH EXERCISE
>
> Why would you charge a multi-level for a post exercise ABI?
>
> From: Steve Flieder <[log in to unmask]<mailto:
> [log in to unmask]>>
> To: [log in to unmask]<mailto:[log in to unmask]>
> Sent: Wednesday, September 3, 2014 3:02 PM
> Subject: Re: ABI WITH EXERCISE
>
> 93923....multi-level physiologic
>
> Steve Flieder
> Lifeline Vascular Access
> Three Hawthorn Parkway
> Vernon Hills, IL 60061
>
> Phone:  617-510-2190
> [log in to unmask]<mailto:[log in to unmask]>
>
> P Go Green!  Please print this e-mail only if completely necessary
>
> This email and the documents accompanying it may contain confidential
> information belonging to the sender that may be legally
> privileged. This information is intended only for the use of the
> individual or entity named above. The authorized recipient of this
> confidential information is prohibited from disclosing this information to
> any other party. If you have received this transmission in error, please
> delete from any computer.
>
>
> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Audrey
> Fleming
> Sent: Wednesday, September 03, 2014 1:45 PM
> To: [log in to unmask]<mailto:[log in to unmask]>
> Subject: Re: ABI WITH EXERCISE
>
> There is no CPT code for toe-ups or hall walking.
>
> From: Patricia Rudibaugh <[log in to unmask]<mailto:
> [log in to unmask]>>
> To: [log in to unmask]<mailto:[log in to unmask]>
> Sent: Wednesday, September 3, 2014 1:43 PM
> Subject: ABI WITH EXERCISE
>
> After seeing that CPT code 93924 cannot be used for hallway walking or
> "toe-up" exercise, only treadmill or hyperemia when completing an ABI with
> exericse test, does anyone still use the toe-up technique? If so, which CPT
> code is used?
>
>
> Thanks in advance
>
> Patty
>
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
> CONFIDENTIALITY NOTICE: THIS MESSAGE IS CONFIDENTIAL, INTENDED FOR THE
> NAMED RECIPIENT(S) AND MAY CONTAIN INFORMATION THAT IS (I) PROPRIETARY TO
> THE SENDER, AND/OR, (II) PRIVILEGED, CONFIDENTIAL, AND/OR OTHERWISE EXEMPT
> FROM DISCLOSURE UNDER APPLICABLE STATE AND FEDERAL LAW, INCLUDING, BUT NOT
> LIMITED TO, PRIVACY STANDARDS IMPOSED PURSUANT TO THE FEDERAL HEALTH
> INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 ("HIPAA"). IF YOU ARE
> NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR
> DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED
> THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS
> STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS TRANSMISSION IN ERROR,
> PLEASE (I) NOTIFY US IMMEDIATELY BY REPLY E-MAIL OR BY TELEPHONE AT
> (855.472.9822), (II) REMOVE IT FROM YOUR SYSTEM, AND (III) DESTROY THE
> ORIGINAL TRANSMISSION AND ITS ATTACHMENTS WITHOUT READING OR SAVING THEM.
> THANK YOU.
> -DaVita Healthcare Partners Inc.-
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
>
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
>
> This message is intended for the use of the person(s) to whom it may be
> addressed. It may contain information that is privileged, confidential, or
> otherwise protected from disclosure under applicable law. If you are not
> the intended recipient, any dissemination, distribution, copying, or use of
> this information is prohibited. If you have received this message in error,
> please permanently delete it and immediately notify the sender. Thank you.
>
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html
>



-- 
Best regards,

William O'Keefe
Frenel Solutions
830-643-4637 v
866-376-6645 f
www.frenelsolutions.com

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html