Results 1 to 5 of 5

Thread: Ultrasound abdominal aorta

  1. #1

    Red face Ultrasound abdominal aorta

    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
    571

    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!
    Jackie, CPC

    Choose a job you love, and you will never have to work a day in your life. ~Confucius~

  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
    35

    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
  •