Results 1 to 4 of 4

CPT code 93970

  1. Default CPT code 93970
    Exam Training Packages
    Does anyone know who to get CPT 93970 paid by Medicare/Evercare/AARP? It keeps getting denied with ICD V72.83 and 585.6 as NCD and LCD.

  2. Default
    2. Peripheral Venous Examinations (CPT-4 Codes 93965 - 93971)

    289.81 - 289.89 PRIMARY HYPERCOAGULABLE STATE - OTHER SPECIFIED DISEASES OF BLOOD AND BLOOD-FORMING ORGANS
    415.11 IATROGENIC PULMONARY EMBOLISM AND INFARCTION
    415.12 SEPTIC PULMONARY EMBOLISM
    415.19 OTHER PULMONARY EMBOLISM AND INFARCTION
    416.2 CHRONIC PULMONARY EMBOLISM
    442.3 ANEURYSM OF ARTERY OF LOWER EXTREMITY
    451.0 - 451.9 PHLEBITIS AND THROMBOPHLEBITIS OF SUPERFICIAL VESSELS OF LOWER EXTREMITIES - PHLEBITIS AND THROMBOPHLEBITIS OF UNSPECIFIED SITE
    453.1 THROMBOPHLEBITIS MIGRANS
    453.40 - 453.42 ACUTE VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED DEEP VESSELS OF LOWER EXTREMITY - ACUTE VENOUS EMBOLISM AND THROMBOSIS OF DEEP VESSELS OF DISTAL LOWER EXTREMITY
    453.50 - 453.52 CHRONIC VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED DEEP VESSELS OF LOWER EXTREMITY - CHRONIC VENOUS EMBOLISM AND THROMBOSIS OF DEEP VESSELS OF DISTAL LOWER EXTREMITY
    453.6 VENOUS EMBOLISM AND THROMBOSIS OF SUPERFICIAL VESSELS OF LOWER EXTREMITY
    453.71 - 453.89 CHRONIC VENOUS EMBOLISM AND THROMBOSIS OF SUPERFICIAL VEINS OF UPPER EXTREMITY - ACUTE VENOUS EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS
    454.0 - 454.9 VARICOSE VEINS OF LOWER EXTREMITIES WITH ULCER - ASYMPTOMATIC VARICOSE VEINS
    459.10 - 459.89 POSTPHLEBETIC SYNDROME WITHOUT COMPLICATIONS - OTHER SPECIFIED CIRCULATORY SYSTEM DISORDERS
    518.81 ACUTE RESPIRATORY FAILURE
    671.00 - 671.44 VARICOSE VEINS OF LEGS COMPLICATING PREGNANCY AND THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE - DEEP PHLEBOTHROMBOSIS POSTPARTUM
    682.6 CELLULITIS AND ABSCESS OF LEG EXCEPT FOOT
    682.7 CELLULITIS AND ABSCESS OF FOOT EXCEPT TOES
    695.9 UNSPECIFIED ERYTHEMATOUS CONDITION
    707.10 - 707.19 UNSPECIFIED ULCER OF LOWER LIMB - ULCER OF OTHER PART OF LOWER LIMB
    707.8 CHRONIC ULCER OF OTHER SPECIFIED SITES
    729.5 PAIN IN LIMB
    729.81 SWELLING OF LIMB
    747.60 - 747.69 ANOMALY OF THE PERIPHERAL VASCULAR SYSTEM UNSPECIFIED SITE - ANOMALIES OF OTHER SPECIFIED SITES OF PERIPHERAL VASCULAR SYSTEM
    782.2 LOCALIZED SUPERFICIAL SWELLING MASS OR LUMP
    782.3 EDEMA
    785.4 GANGRENE
    786.00 RESPIRATORY ABNORMALITY UNSPECIFIED
    786.05 SHORTNESS OF BREATH
    786.09 RESPIRATORY ABNORMALITY OTHER
    786.30 HEMOPTYSIS, UNSPECIFIED
    786.50 UNSPECIFIED CHEST PAIN
    786.52 PAINFUL RESPIRATION
    786.59 OTHER CHEST PAIN
    789.60 - 789.69 ABDOMINAL TENDERNESS UNSPECIFIED SITE - ABDOMINAL TENDERNESS OTHER SPECIFIED SITE
    794.2 NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF PULMONARY SYSTEM
    799.01 ASPHYXIA
    799.02 HYPOXEMIA
    820.00 - 820.9 FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR CLOSED - FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR OPEN
    821.00 - 821.39 FRACTURE OF UNSPECIFIED PART OF FEMUR CLOSED - OTHER FRACTURE OF LOWER END OF FEMUR OPEN
    823.00 - 824.9 CLOSED FRACTURE OF UPPER END OF TIBIA - UNSPECIFIED FRACTURE OF ANKLE OPEN
    903.00 - 904.9 INJURY TO AXILLARY VESSEL(S) UNSPECIFIED - INJURY TO BLOOD VESSELS OF UNSPECIFIED SITE
    996.1 MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT
    996.62 INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT
    996.70 OTHER COMPLICATIONS DUE TO UNSPECIFIED DEVICE IMPLANT AND GRAFT
    996.74 OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT
    997.2 PERIPHERAL VASCULAR COMPLICATIONS NOT ELSEWHERE CLASSIFIED
    997.79 VASCULAR COMPLICATIONS OF OTHER VESSELS
    998.11 - 998.13 HEMORRHAGE COMPLICATING A PROCEDURE - SEROMA COMPLICATING A PROCEDURE
    998.2 ACCIDENTAL PUNCTURE OR LACERATION DURING A PROCEDURE NOT ELSEWHERE CLASSIFIED
    999.2 OTHER VASCULAR COMPLICATIONS OF MEDICAL CARE NOT ELSEWHERE CLASSIFIED
    V43.64 HIP JOINT REPLACEMENT
    V43.65 KNEE JOINT REPLACEMENT
    V54.13 AFTERCARE FOR HEALING TRAUMATIC FRACTURE OF HIP
    V54.14 AFTERCARE FOR HEALING TRAUMATIC FRACTURE OF LEG UNSPECIFIED
    V54.15 AFTERCARE FOR HEALING TRAUMATIC FRACTURE OF UPPER LEG
    V54.16 AFTERCARE FOR HEALING TRAUMATIC FRACTURE OF LOWER LEG
    V54.23 AFTERCARE FOR HEALING PATHOLOGIC FRACTURE OF HIP
    V54.24 AFTERCARE FOR HEALING PATHOLOGIC FRACTURE OF LEG UNSPECIFIED
    V54.25 AFTERCARE FOR HEALING PATHOLOGIC FRACTURE OF UPPER LEG
    V54.26 AFTERCARE FOR HEALING PATHOLOGIC FRACTURE OF LOWER LEG
    V58.89 OTHER SPECIFIED AFTERCARE
    V67.00 FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY
    V72.83 OTHER SPECIFIED PRE-OPERATIVE EXAMINATION

  3. Default
    Yes, thanks.
    I saw that.
    I am already using an ICD-9 code from that list that supports medical necessity and it's still denying.
    The problem might be that I'm also using a secondary code that doesn't support medical necessity. I will refile without that secondary code and see if it pays.
    If anyone else knows anything else that might help, please let me know.
    Thanks.

  4. Default
    NGS, our carrier in Indiana & for several other states, has LCD Non-Invasive Vascular Studies, where for 2010 and up to 6/1/11 they only wanted HCPCS code G0365 for dialysis access cases. BUT just revised effective 6/1/11 now G0365 for FIRST dialysis access exam, can go back to using 93970 & 93971 for SUBSEQUENT exams. I think it's #L30737.

Similar Threads

  1. Wiki 93970 & 93971
    By RADCODER in forum Interventional Radiology
    Replies: 6
    Last Post: 04-23-2012, 10:26 AM
  2. 93970 with 93971
    By maine4me in forum Interventional Radiology
    Replies: 4
    Last Post: 03-09-2012, 11:00 PM
  3. 93965 vs 93970
    By nbohm in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-14-2012, 12:55 PM
  4. 93970
    By jdd111168 in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 04-01-2010, 09:56 AM

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.