Cardiology Coding Alert
Watch for Your Chance to Report Duplex and ABI
Your payer's LCD may offer all the support you need. Correct Coding Initiative (CCI) edits don't bundle 93922 and 93923 into duplex scan codes (93925-93931), but payers may not consider both services necessary unless the patient has specific diagnoses. For example, Noridian's "Noninvasive Peripheral Arterial Studies" local coverage determination (L24339) states, "Duplex scanning and physiologic studies are reimbursed during the same encounter if the physiologic studies are abnormal and/or to evaluate vascular trauma, thromboembolic events or aneurysmal disease." Reason: The equipment for the noninvasive physiologic studies is separate and distinct from the duplex scanner, as the CPT guidelines for Noninvasive Vascular Diagnostic Studies point out. "Duplex" indicates that the cardiologist performed imaging. ABIs -- and all services 93922 and 93923 (Noninvasive physiologic studies ...) describe -- do notinvolve imaging.
Cardiology Coding Alert
- Prevent Device Monitoring Woes With This Programming Eval Guide
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CPT guidelines state that a programming evaluation "includes" the components of both the remote and [...] - Trot Out the Red Pen Again:
CPT 2009 Has a Typo
The second paragraph of the section guidelines for "Cardiovascular Device Monitoring -- Implantable Devices" states, "A [...] - Bonus Device Monitoring Tip
Check your contracts -- you need to be sure you identify any payer contracts that were [...] - Steer Clear of a Tempting $120 ABI Blunder
5 essentials help keep your noninvasive study codes watertight Your practice may use ankle/brachial indices [...] - Watch for Your Chance to Report Duplex and ABI
Your payer's LCD may offer all the support you need. When your cardiologist performs an [...] - You Be the Coder:
Beat Battery Change Blues
Question: A patient came in for permanent dualchamber generator removal and placement of a new [...] - READER QUESTIONS:
1 93556 Unit Covers All Services
Question: My cardiologist has been billing two units of 93556, but Medicare denies the claim [...] - READER QUESTIONS:
Turn to Extremity Code for Subclavian Venogram
Question: How should I code a diagnostic subclavian venogram? Florida Subscriber Answer: For a subclavian [...] - READER QUESTIONS:
Add Dx to Your Home PT/INR Testing Options
Question: I need to report home prothrombin time testing for a patient with femoral venous [...] - READER QUESTIONS:
Keep 93508 for Diagnostic Cath
Question: If I'm reporting 92980 and 92981's professional component, may I report 93508, too? California [...]
