What does CPT code 93922 mean?

What does CPT code 93922 mean?

CPT codes 93922 and 93923 are assigned for bilateral upper or lower extremity arterial assessments to check blood flow in relation to a blockage. These are typically performed to establish the level and/or degree of arterial occlusive disease.

What ICD 10 code covers ABI?

Arterial 93925 & ABI 93922. Combination Ultrasound Exam.

What is the difference between 93922 and 93923?

CPT 93922 is defined as “non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral (e.g., ankle/brachial indices, Doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement).” CPT 93923 is defined as “non-invasive physiologic studies of upper or …

Does Medicare cover CPT 93922?

CPT 93922 Coverage In general, most Medicare carriers consider an “ABI” exam without blood-flow waveforms to be part of the general physical examination, and hence do not reimburse for “ABI’s” unless waveform analysis is included. CPT 93922 provides coverage for a single-level lower extremity physiologic study.

Does 93922 need a modifier?

In 2011, such a situation (three or more levels, unilateral) is now appropriately described by the lesser valued CPT code, 93922. A study which involves one or two levels in a single extremity (unilateral) still requires CPT code 93922 have the -52 modifier appended.

Is ABI covered by Medicare?

Assessment of the Ankle brachial indices (ABI) only is considered part of the physical examination and is not covered according to Title XVIII of the Social Security Act section 1862 (a) (7) which excludes routine physical examinations and services from Medicare coverage.

Does CPT code 93922 need a modifier?

Same single level evaluation can be done on upper extremities as well. Moreover, when both the upper and lower extremities are studied we have to use twice 93922 along with 59 or XS modifier depending on the client guidelines.

How do you bill for an ABI?

The ABI study is reimbursable using CPT code 93922, 93923. The sudomotor study is reimbursable using CPT code 95923. The ABI and the Sudomotor study are two separate and billable events.

What is CPT code for ABI?

CPT® Code: 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries.

How often should ABI be done?

The American Diabetes Association recommends ABI screening in all patients with diabetes who are older than 50 years; if results are normal, screening should be repeated every five years.