Hello, I work for a Cardiothoracic and Vascular office. Our practice is trying to get information on billing diagnostic procedures from the cardiovascular medicine section of the cpt book along with a office visit. Usually the MD is doing a follow up visit and then preforms either a cerebrovascular arterial study, 93880,93882 or extremity arterial studies 93922 or 93930. Currently they have been billing for both( an office visit and the diagnostic test) and both are getting paid. Can anyone provide any information on a situation like this? Thanks for all your help.
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Resolved Billing office visit with cardiovascular medicine section of cpt
- Thread starter DaneskaS_78707
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- physician billing
I am not seeing anything in my research that states you can not do this. And if it is getting paid....
But I did find in the CPT Assistant Archives regarding 93922
Question: In order to report code 93922, what additional procedures must be performed in addition to a Doppler-derived ankle-brachial index (ABI)?
Answer: Code 93922, Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels), can be reported only if simultaneous Doppler recording analysis of bidirectional blood flow, volume plethysmography, or transcutaneous oxygen tension measurement is also performed.
Limited studies for lower extremity require one of the following: (1) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional Doppler waveform recording and analysis at one to two levels; or (2) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at one or two levels; or (3) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at one or two levels. Potential levels include high thigh, low thigh, calf, ankle, metatarsal, and toes.
Limited studies for upper extremity require one of the following: (1) Doppler-determined systolic pressures and bidirectional Doppler waveform recording and analysis at one or two levels; or (2) Doppler-determined systolic pressures and volume plethysmography at one or two levels; or (3) Doppler-determined systolic pressures and transcutaneous oxygen tension measurements at one to two levels. Potential levels include arm, forearm, wrist, and digits.
But I did find in the CPT Assistant Archives regarding 93922
June 2013 page 14a
Medicine: Noninvasive Vascular Diagnostic StudiesQuestion: In order to report code 93922, what additional procedures must be performed in addition to a Doppler-derived ankle-brachial index (ABI)?
Answer: Code 93922, Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels), can be reported only if simultaneous Doppler recording analysis of bidirectional blood flow, volume plethysmography, or transcutaneous oxygen tension measurement is also performed.
Limited studies for lower extremity require one of the following: (1) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional Doppler waveform recording and analysis at one to two levels; or (2) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at one or two levels; or (3) ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at one or two levels. Potential levels include high thigh, low thigh, calf, ankle, metatarsal, and toes.
Limited studies for upper extremity require one of the following: (1) Doppler-determined systolic pressures and bidirectional Doppler waveform recording and analysis at one or two levels; or (2) Doppler-determined systolic pressures and volume plethysmography at one or two levels; or (3) Doppler-determined systolic pressures and transcutaneous oxygen tension measurements at one to two levels. Potential levels include arm, forearm, wrist, and digits.