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Old 08-30-2011, 08:28 AM
denamfailla denamfailla is offline
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Post 93975-93976 medicare guidelines

Are there any medically necessary guidelines for 93975-93976 ? and if so, what are they? I tried looking that up but didn't come across any but figured I would ask on here. and does anyone know if 93975/93976 can be billed with 76830 and be payed?

Please help! thank you!!

Dena
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Old 08-31-2011, 09:27 AM
donnajrichmond donnajrichmond is offline
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Most Medicare contractors have an LCD for non-invasive vascular exams such as 93975/76. Even if you state doesn't have one, you can look at some of the other LCDs to get an idea of what's considered medically necessary. There are no CCI edits prohibiting 93975/76 with 76830, so if both are ordered and medically necessary you should get paid for both. Remember that 93975 requires both color and spectral doppler of an organ (or both of paired organs) and evaluation of both arterial and venous blood flow. If only arterial, or only venous, or only 1 of paired organs is evaluated, code 93976.
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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