|Home » Categories » Imaging/Radiology Coding|
Ultrasound Code 93922 and 93923
|Article Number: 84 | Rating: 4.6/5 from 7 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.
Post Central Line Insertion Chest X Ray
Viewed 5025 times since Wed, Feb 23, 2011
CT Order With or Without Contrast
Viewed 5561 times since Sun, Feb 17, 2013
MRA Lower Extremities
Viewed 3759 times since Wed, Apr 20, 2011
Port Access Prior to CT Scan
Viewed 1475 times since Wed, Nov 17, 2010
Foot vs. Ankle MRI
Viewed 9676 times since Wed, Nov 17, 2010
Ultrasound Guidance for Vascular Access
Viewed 4262 times since Wed, Nov 17, 2010
Computer Aided Detection
Viewed 1188 times since Thu, Mar 3, 2011
Bilateral Modifier For Radiological Exams
Viewed 4206 times since Fri, Feb 25, 2011
Modifier Discontinued Radiology Procedure
Viewed 1660 times since Wed, Aug 3, 2011
Viewed 1144 times since Fri, Nov 30, 2012