Medical Necessity For Cpt 93975

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

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34045&CptHcpcsCode=93975

Varicose veins by themselves do not indicate medical necessity, but medical necessity may be indicated when they are accompanied by significant pain or stasis dermatitis; and/or Superficial thrombophlebitis involving the proximal thigh (to investigate …

Article - Billing and Coding: Duplex Scanning (A57636)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57636&LCDId=33674&CptHcpcsCode=93975

The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 93978 and 93979. Group 2 Codes ICD-10-CM Codes that DO …

Double-check Duplex Scan Documentation

https://www.aapc.com/blog/43413-double-check-duplex-scan-documentation/

For organs that are bilateral (e.g., kidneys, ovaries, testicles), both the right and left must be completely assessed to …

CMS Limitations Guide - Radiology Services

https://www.nmdi.org/media/file/Radiology%20-%20(L35755)%20Non-Invasive%20Abdominal-Visceral%20Vascular%20Studies.pdf

ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Abdominal/visceral vascular studies of abdominal, retroperitoneal, and …

Cigna Medical Coverage Policies – Radiology Pelvis …

https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/cardiology-and-radiology/healthplan/10_cigna_pelvis-imaging_v102019_eff031519_pub121418.pdf

CPT® 93976 Duplex scan (limited) of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study. CPT® 93975 and CPT® …

CPT 93975, 93976, 93978 – Non invasive abdominal …

https://whatismedicalinsurancebilling.org/2017/02/cpt-93975-93976-93978-non-invasive.html

CPT 93975, 93976, 93978 – Non invasive abdominal vascular study. 93976 DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABDOMINAL, …

CPT code 97375, 93976, 93978 – Non invasive vascular …

https://medicarepaymentandreimbursement.com/2016/12/cpt-code-97375-93976-93978-non-invasive.html

Billing and Coding Guidelines. 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study. Aorta, inferior vena cava, iliac …

Antepartum Fetal Surveillance - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/1_99/0088.html

The following medical necessity guidelines apply: Antepartum fetal surveillance using NST, CST, BPP, or modified BPP is considered medically necessary for women with risk …

Medicine: Non-Invasive Vascular Diagnostic Studies

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

For CPT codes 93880 through 93931, 93970 through 93981, 93985, 93986 and 93990, only one NVDS is reimbursable when billed by the same provider, for the same recipient and …

76705 with 93975 | Medical Billing and Coding Forum

https://www.aapc.com/discuss/threads/76705-with-93975.173080/

COLOR FLOW AND SPECTRAL DOPPLER IMAGING FINDINGS: There is hepatopetal flow in the main portal vein. Slightly slow flow is seen in the left portal vein. …

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