Hi Denise,

Yes, 93985 and 93986 include both arterial and venous ultrasound assessment prior to placing hemodialysis access.  If you only do a venous assessment you should use 93970 or 93971.  If you only do an arterial assessment, you can use 93930 or 93931 for upper extremity arteries or 93926 or 93925 for lower extremity arteries.

Ann Marie


On Wed, Apr 14, 2021 at 10:57 PM Denise Levy <[log in to unmask]> wrote:
Hi sonographers who specialize in hemodialysis patients. Help please. 
I have a new reporting system that works with CPT codes for upper extremity vein mapping vs pre op creation of hemodialysis or graft.
I have used 93970 and 93985 in the past and here is the researched codes that I found. 

Preoperative arterial and vein mapping for hemodialysis access will have a new code. Since 2005, G-code G0365 was used for the unilateral arm artery and vein mapping for patients who had never undergone creation of an arteriovenous access (graft or vein).

In 2020, this G-code will be replaced with two CPT codes. These new codes require assessment of both arterial inflow and venous outflow. If only assessing arteries or veins, then the new codes will not apply. CPT code 93985 is a duplex scan of arterial inflow and venous outflow for bilateral extremities while 93986 is a unilateral study.

Please let me know the proper codes,

Thank you, Denise Levy, RDMS, RVT 

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