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Thread: Need an Expert Vascular Coders Help

  1. #1
    Join Date
    Apr 2007

    Question Need an Expert Vascular Coders Help

    AAPC: Back to School
    Is it correct to bill codes 93978 or 93979 for any of the Vascular Studies mentioned below?

    Arterial Doppler, Duplex
    Venous Doppler, Duplex
    Carotid Doppler, Duplex

    Can I use it to complete the coding description for the Vascular Studies?

    Please email me if you don't really understand the question. My email address is facturadoramedica1@yahoo.com

    Thank you,


  2. #2


    I am not sure if I understand the question but codes 93978 & 93979 are Duplex of aorta, iliac's & IVC etc.

    Artrial Doppler, Duplex has codes for Upper or Lower extremity procedures so look at code range 93925-93926 & 93930-93931.

    FYI, 93922-93923 is just for Artrial Doppler!

    Venous duplex, look at 93970-93971

    Carotid Duplex is 93880 or 93882.

    The procedure code to use would all depends on what the exact vascular test that is being done ie: arterial vs venous, Doppler vs. Duplex, if test is bilateral study or limited.

    I hope this helps!

  3. #3
    Join Date
    Apr 2007

    Smile vascular confusion.

    Our Cardiologist indicates that when performing a Dopper/Duplex study for vascular studies the description codes are not complete. He states that when performing these studies you also evaluate the aorta, inf ven cava ect. and you use codes 93978 or 93979 to complete the coding description. He states that codes 93978 and 93979 should always be billed with doppler/duplex studies. Can this be done?

    I would gladly apreciate it if you can help me with this.

    Thank You,


  4. #4
    Join Date
    Apr 2007
    Moore, OK



    It sounds to me as if your cardiologist is billing for incidental findings. Duplex scans are conducted for specific signs, symptoms or confirmed diagnoses. If the intent of the duplex scan is to evaluate suspected problems in the arteries of the upper or lower extremities then codes 93925 - 93926 are appropriate. The fact that the physician can "see" the aorta, inferior vena cava, etc. is incidental to the purpose for which the test was conducted.

    If the patient presented with complaints that warrant investigation of the visceral area, or the physician observed an abnormality in that area during the study of the extremities, then a separate study of the visceral area would be appropriate.

    Medical necessity is the key.


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