93925 Medical Necessity

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LCD - Non-Invasive Peripheral Arterial Vascular Studies …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35761&CptHcpcsCode=93925

The provider is responsible for ensuring the medical necessity of procedures and maintaining the medical record, which must be available to Medicare upon request. …

Billing and Coding: Non-Invasive Peripheral Arterial …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57593&LCDId=35761&CptHcpcsCode=93923

The provider is responsible for ensuring the medical necessity of procedures and maintaining the medical record, which must be available to Medicare upon request. …

Billing and Coding: Non-Invasive Vascular Studies

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56697

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

CMS Limitations Guide - Radiology Services

https://www.munsonhealthcare.org/media/file/Radiology%20-%20(L35761)%20Non-Invasive%20Peripheral%20Arterial%20Vascular%20Studies.pdf

ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Peripheral Arterial Examinations (93923-93931) When CPT code 93926 is …

Billing and Coding: Non-Invasive Peripheral Venous Studies

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52993&CptHcpcsCode=93971

These CPT codes have been added to the asterisk note for “Group 1 for Medical Necessity” under ICD-10-CM codes Asterisk Explanation. 01/12/2021 R9 Article …

Duplex Scan Of Lower Extremity Arteries – 93925, …

https://medicarepaymentandreimbursement.com/2016/06/duplex-scan-of-lower-extremity-arteries.html

Performance of both a physiological test (93922, 93923, 93924) and duplex scanning (93925, 93926) of extremity arteries during the same encounter would not generally be …

Local Coverage Determination Coding Guidelines

https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/32008_1/DL32009_CV027_CBG_042111.pdf

Examples supporting the medical necessity for Doppler flow studies include: a. Elevated dynamic venous pressure >200mm HG when measured during dialysis with the blood …

LCD - Non-Invasive Vascular Studies (L33627) - Centers …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33627&CptHcpcsCode=93922

Findings supportive of the medical necessity for the study should be included in the request and the medical record/report. Follow-up of an abdominal aneurysm on a …

CPT 93922, 93923, 93924, 93925- BILATERAL NONINVASIVE …

https://whatismedicalinsurancebilling.org/2021/11/cpt-93922-93923-93924-93925-bilateral-noninvasive-physiologic-studies-of-upper-or-lower-extremity-arteries.html

ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Peripheral Arterial Examinations (93923-93931) When …

CPT 93922 – 93923, 93925 , 93970, 93971 – Non …

https://medicarepaymentandreimbursement.com/2011/08/non-invasive-peripheral-arterial.html

ICD-10 Codes that Support Medical Necessity D78.01 ... 93925, 93926, 93930 and 93931 for p reoperative examination of patients with clinically suspected vascular disease who …

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