93880 Medical Necessity

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Billing and Coding: Non-Invasive Cerebrovascular …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52992&CptHcpcsCode=93880

Medicare is establishing the following limited coverage for CPT codes 93880 and 93882: Group 1 Codes. Code Description; D44.6 Neoplasm of uncertain behavior of carotid body ... All ICD-10 codes not listed under the "ICD-10 Codes that Support Medical Necessity" section of this article. Group 1 Codes. Code Description; XX000 Not Applicable ...

LCD - Non-Invasive Cerebrovascular Studies (L35753)

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35753&CptHcpcsCode=93880

Frequency of follow-up studies will be carefully monitored for medical necessity, and it is the responsibility of the physician/provider to maintain documentation …

Billing and Coding: Non-invasive Extracranial Arterial …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57670&LCDId=33695&DocID=L33695

The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 93880 and 93882. It is the provider’s responsibility to …

LCD - Non-Invasive Vascular Studies (L34045) - Centers …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34045&CptHcpcsCode=93880

Extracranial Arterial Studies (93880 - 93882) Covered cerebrovascular arterial study testing methods include (real-time) duplex scans; and Doppler ultrasound …

Billing and Coding: Non-Invasive Cerebrovascular Studies

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57592&LCDId=35753&DocID=L35753

The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD. ...

CPT code 93880, 93985 – Duplex scan of extracranial …

https://medicarepaymentandreimbursement.com/2021/10/cpt-code-93880-93985-duplex-scan-of-extracranial-arteries.html

The medical record documentation must support the medical necessity of the services as directed in this policy. The medical necessity for performing both non-invasive …

CPT CODE 93875, 93880, 93882 – Non-Invasive …

https://medicarepaymentandreimbursement.com/2011/08/non-invasive-cerebrovascular-studies.html

ICD-9-CM Codes that Support Medical Necessity. The CPT/HCPCS codes included in this LCD will be subjected to “procedure to diagnosis” editing. The following lists include only …

Medicine: Non-Invasive Vascular Diagnostic Studies

https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/Part2/mednenon.pdf

CPT® codes 93880 through 93931, 93970 through 93998 should be used to bill for NVDS. For males age 21 years and older, authorization is required for CPT codes 93980 (duplex …

Duplex Scan for Carotid Artery Stenosis - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0542_coveragepositioncriteria_duplex_scan.pdf

delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview This Coverage Policy addresses the use of duplex scan to …

ICD-10 Codes for Ultrasound Services - Videre

https://www.videre.com/icd-10/search/?q=93880

Please use this page as a guide for the most commonly used ICD-10 codes that may meet medical necessity for ultrasound services. Professional clinical analysis should always …

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