Jeff the origin of a fem-fem is typically the femoral artery (hence it's name - Bazinga! - but you're a tough Preds fan so you will get over that jab). 
Since the femoral artery is a peripheral artery, it follows that one needs to code its evaluation with 93926 (or -25) in addition to the inflow (93979). 
To exclude the 93926 would, in my humble opinion, leave earned money on the table.

If the bypass was from the iliac to the controlateral femoral then I would omit 93926. 

~S

On Wed, Jun 29, 2016 at 1:51 PM, Jeff Stanley <[log in to unmask]> wrote:

So Steve, if I scan the aorta, right iliac artery system, a right to left fem-fem, outflow left CFA and nothing else more distal, then I can submit 93979 and 93926?  We do add the ABI/93922 as you mentioned.  For fem-fems we bill 93979, with the thinking that it is an iliac artery bypass.

 

Jeff Stanley BS, RVT
Vascular Lab Manager
THE SURGICAL CLINIC, PLLC
356 24th Ave North, Suite 300
Nashville, TN 37203
Phone: 615.301.5261 | Fax: 615.320.3662
www.TSClinic.com

 

 

 

From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Steve Knight
Sent: Wednesday, June 29, 2016 3:35 PM
To: [log in to unmask]
Subject: Re: Aorta iliac gem to gem and bil LEA

 

A fem to fem is a lower extremity arterial study. 

You can bill for the inflow as a 93979 (unilateral/ limited) and then the fem-fem which would be either a 93926 if you only studied the graft and it's outflow or a 93925 if you did a complete bilateral study. And of course ankle waveforms/pressures can also be tacked on (93922).

If your facility buys the coding advisor from SVU you will be able to maximize your reimbursement which is particularly troublesome when billing for multiple procedures on the same visit. A link is found here: http://www.svunet.org/practicemanagementmain/advisoryservices/codingsoftware

 

~S

 

On Wed, Jun 29, 2016 at 1:27 PM, Denise Levy <[log in to unmask]> wrote:

Hi, billing question,,

Had to combine aorta iliac for a fem to fem

93978

Bil legs 93925

 

I usually only bill for the 93978 with fear of them paying the lesser of the two, I know this had been discussed, can someone get back to me with 4 hours? The staff messed up today with  2 patients Thanks Denise



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