Wiki 76706 Screening AAA for patient over 75

coffee2day

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Hi any advice for CPT 76706 if done on a patient over 75? The medicare guidelines state they cover this screening for male age 65-75 who has smoked.

From the report below, is 76706 the only option? This seems not to be a screening because the patient has a known infrarenal aaa. Could CPT 93978 be used, duplex scan of aorta, ivc, iliac complete?

HISTORY: Follow-up infrarenal abdominal aortic aneurysm, comparison CT scan last year.TECHNIQUE:
Multiple transverse and longitudinal images of the retroperitoneum, abdominal
aorta, and common iliac arteries
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FINDINGS:
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Abdominal Aorta: Continued infra renal aneurysm
Maximal AP diameter: 3.2 cm.
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Common iliac arteries: No aneurysmal dilatation.
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SITE: AP diameter (cm)
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Suprarenal Aorta 2.1
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Pararenal Aorta 2.0
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Infrarenal Aorta 3.2
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Right Common Iliac 1.2
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Left Common Iliac 1.0
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*
**
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CONCLUSIONS: Infrarenal aneurysm measuring 3.2 cm. No common iliac artery
aneurysm noted bilaterally
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I recommend using either 93978 for a full Aortic Duplex study or 93979 for a limited Aortic Duplex study. The AAA screening code, 76706, is a once in a lifetime preventive benefit to Medicare beneficiaries that meet very specific criteria. As this is a screening service, the code does not cover studies for beneficiaries with a known AAA aneurysm. Here is a link to the MLN Matters article that discusses this in detail: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM5235.pdf
 
76775 is a limited retroperitoneum which covers the abdominal aorta. This is what I use when the AAA is already known.
 
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