Results 1 to 5 of 5

Thread: Ultrasound abdominal aorta

  1. #1

    Red face Ultrasound abdominal aorta

    Promo: Code Books
    Merry Christmas to all!
    I have a question regarding the proper documentation of cpt 93978 and 93979 ( duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts, complete study and 93979 (same scan but limited study) Our referring doctors usually order an ultrasound aorta as a screening for abdominal aortic aneurysm. Documentation of the report is normally as what follows:
    "Sonographic eval of the aorta and adjacent structures was performed using a curvilinear sector trasnducer. Color and pulsed Dopper evaluation was performed. The course and caliber of the abdominal aorta appears normal. The maximal dimension of the aorta measures 1.3 cm in size. There are no adjacent abnormalities. The lumen appears patent without significant plaques or stenoses. Pulsed Doppler waveforms appeared normal."
    Would the above documentation support cpt 93978 as a complete study. The radiologist does not mention the inferior vena cava by name, and I am questioning whether he definitely has to mention the inferior vena cava and the iliac vessels to be justified in coding a 93978?

    What constitutes a complete exam regarding this issue? I would appreciate any and all help you can offer on this subject.

    Claudia K, CPC
    Networker

  2. #2
    Join Date
    Apr 2007
    Location
    Columbus GA
    Posts
    570

    Smile

    Our Rads go by what the ACR uses in their definition and it states in the exam word for word that ALL have been viewed when doing the complete... anything less and we use the 93979:

    93978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study

    93979 unilateral or limited study

    Happy Holidays to you too!!!! Hope this helps!

  3. #3

    Default duplex scan aorta

    Thanks so much for your input!
    ClaudiaK, CPC
    Networker

  4. #4
    Join Date
    Apr 2007
    Location
    Fort Worth Texas
    Posts
    36

    Default

    I also agree with jgf. They have to document everything. They also have to say color and pulsed doppler or something similar to get credit.

    Also when it says specifically that they are "screening for an abdominal aortic aneurysm" and we know they are a Medicare patient, we have been told to use G0389 instead of the 93978.

  5. #5

    Default duplex scan aorta

    Thanks so much for the in fo. Have a Happy New Year!

    ClaudiaK.CPC
    Networker

Similar Threads

  1. Replies: 1
    Last Post: 01-21-2015, 09:17 AM
  2. interval enlargement of proximal abdominal aorta
    By soprano in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-22-2013, 05:21 AM
  3. Abdominal aorta ultrasound
    By squeaker7 in forum Cardiology
    Replies: 3
    Last Post: 09-28-2012, 04:44 PM
  4. Abdominal aorta
    By mvn912 in forum Cardiology
    Replies: 2
    Last Post: 07-12-2011, 04:45 PM
  5. Order....CT aniography of the abdominal aorta with bilateral LE runoff
    By Kimberley in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-22-2009, 02:22 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.