niharims
Contributor
CPT-93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)
CPT-93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)
Can we Bill these codes 93922 and 93923 on the same date of service?
Multiple levels for 93923 like thigh, calf and Dorsalis pedis artery at ankle
above knee - 191 right, 229 left
calf - 194 right ,190 left
DP - 145 right, 122 left
Toe for TBI (93922)
Toe- 175 right, 120 left
and which are compared to brachial readings
Brachial - 178 right, 176 left
Also if Yes, what are the key factors to be kept in mind for the documents ? should documents be separate; or ABI and TBI documented in same report can justify the codes?
I have attached a sample report.
please advise
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)
CPT-93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)
Can we Bill these codes 93922 and 93923 on the same date of service?
Multiple levels for 93923 like thigh, calf and Dorsalis pedis artery at ankle
above knee - 191 right, 229 left
calf - 194 right ,190 left
DP - 145 right, 122 left
Toe for TBI (93922)
Toe- 175 right, 120 left
and which are compared to brachial readings
Brachial - 178 right, 176 left
Also if Yes, what are the key factors to be kept in mind for the documents ? should documents be separate; or ABI and TBI documented in same report can justify the codes?
I have attached a sample report.
please advise