|Home » Categories » Imaging/Radiology Coding|
Ultrasound Code 93922 and 93923
|Article Number: 84 | Rating: 4.7/5 from 9 votes | Last Updated: Wed, Nov 17, 2010 8:24 PM|
We are getting an error when we bill CPT 93922 Brachial Bilateral 93923 Arterial. Can these be billed with a modifier or is the 93922 included 93923?
These two codes should not be billed together. 93922 is for a single level. 93923 is for multiple levels. The codes are for lower or upper extremity arteries. If you are doing one study on lower extremities and another on upper extremities, you could use both codes with modifier 59. Here is information from CPT Assistant, August 2009: Code 93922 represents a noninvasive physiologic arterial study of either both upper extremities (UE) or both lower extremities (LE) performed at only one level of the involved extremities. An example of a single level study is an evaluation of non-imaging physiologic recordings of pressures, Doppler analysis of bi-directional blood flow, plethysmography, and/or oxygen tension measurements at each ankle. Again, if this evaluation does not produce hard copy output or, for Doppler testing produces a record that does not permit analysis of bi-directional blood flow direction, then the evaluation is considered to be part of the part of the E/M service and is not separately reportable.
CPT code 93923 represents a noninvasive physiologic arterial study of both UE or both LE performed at multiple levels of the involved extremities. An example of a multiple level study is the evaluation of multiple levels of non-imaging physiologic recordings of pressures, Doppler analysis of bi-directional blood flow, plethysmography, and/or oxygen tension measurements of the two LE’s or two UE’s. Code 93923 describes "noninvasive physiologic studies of upper or lower extremity arteries,"1 which indicates that if both the UE and the LE arteries are studied in this fashion, then code 93923 should be reported twice, once for the UE and once for the LE. In this instance, modifier 59, Distinct procedural service, should be appended to the second listing of code 93923 on the claim form.
When only performing studies to the UE or LE, it is inappropriate to code 93922 in conjunction with 93923 because code 93923 includes segmental pressures and tracings, and is used to report more complex bilateral noninvasive physiologic testing procedures.
There are no attachments for this article.
FNA of Thyroid with U/S Guidance
Viewed 2384 times since Mon, May 23, 2011
Viewed 1229 times since Tue, Sep 18, 2012
Multiple Breast Biopsies
Viewed 7374 times since Wed, Nov 17, 2010
Bilateral Modifier For Radiological Exams
Viewed 5008 times since Fri, Feb 25, 2011
New Nuclear Medicine Codes
Viewed 1911 times since Sat, Jan 21, 2012
Conscious Sedation-Radiology Procedure
Viewed 4246 times since Mon, Feb 28, 2011
MRI’s and Contrast Injection
Viewed 4344 times since Mon, Feb 14, 2011
Viewed 1981 times since Sat, Mar 12, 2011
Viewed 2224 times since Wed, Oct 26, 2011
Viewed 2704 times since Fri, Nov 30, 2012