Does Medicare pay for ABI test?

Does Medicare pay for ABI test?

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.

What is the CPT code 93923?

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 is the difference between CPT code 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 …

Can CPT 93923 and 93925 be billed together?

Duplex scanning (93925, 93926, 93930, and 93931) and physiologic studies (93922, 93923, and 93924) are reimbursed during the same encounter if the physiologic studies are abnormal and/or to evaluate vascular trauma, thromboembolic events or aneurysmal disease.

Does 93923 need a modifier?

And when both the Upper and Lower extremities are evaluated we will use twice 93923 along with 59 or XS modifier depending on the client coding guideline. Because the code descriptions are stated as bilateral exams, use modifier 52 for reduced services if the study is only done on one side.

What is CPT code for ABI?

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

Does Medicare pay for 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.

What does ABI diagnosis?

An ankle-brachial index (ABI) test is a simple way for your doctor to check how well your blood is flowing. Doctors use this test to check for peripheral artery disease (PAD). When you have this condition, it means you have blockages in the arteries of your arms and legs.

Can you bill for ABI?

CPT CODES. 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.