Home » Categories » Imaging/Radiology Coding

Ultrasound Code 93922 and 93923


Question

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?

Answer

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. 

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 18906 times since Mon, Dec 20, 2010
Bilateral Modifier For Radiological Exams
Viewed 4544 times since Fri, Feb 25, 2011
Echocardiography
Viewed 1565 times since Wed, Nov 17, 2010
MRI Bilateral Hips
Viewed 4083 times since Sat, Aug 27, 2011
76942/76872
Viewed 2592 times since Thu, Jan 19, 2012
FNA of Thyroid with U/S Guidance
Viewed 1963 times since Mon, May 23, 2011
CT Abdomen and Pelvis
Viewed 1390 times since Wed, Nov 17, 2010
Nuclear Medicine-Myocardial SPECT
Viewed 1351 times since Wed, Feb 9, 2011
Bilateral X-Rays
Viewed 5281 times since Tue, Aug 21, 2012
Transvaginal and Pelvic Sonogram
Viewed 1370 times since Thu, Mar 10, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506