Wiki Carotid ultrasound denial from Medicare

heartyoga

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The doctor indicated that he is checking for "patency for carotid and vertebral circulation to evaluate atherosclerotic burden" and ordered a carotid ultrasound.

Biller billed Z13.6 Encounter for screening cardiovascular disorder (unacceptable pdx).

Patient has symptoms of dizziness,peripheral arterial disease and hypercholesterolemia. Results show 20-30% non obstructive plaque, involving bilateral carotid bulbs and proximal internal carotid segments.

QUESTION:

Can we rebill with the ff codes?

I73.9, R42, I65.23?(even if it is a non obstructive plaque?)

Thank you for your advice.
 
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