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Carotid ultrasound denial from Medicare

heartyoga

Guru
Messages
154
Location
Crossville, TN
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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