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93965

SuperCoder Posted Sat 19th of January, 2013 11:26:47 AM

Hi... In order to bill 93965,does the physician has to have a ultrasound plus a separate equipment for plethysmography? or it can be done by only using the report from the bidirectional probe(Imaging/Vascular)(Doppler & Dupplex).
thanks

SuperCoder Answered Tue 22nd of January, 2013 22:08:07 PM

Check to see if the payer offers a specific list. For instance excerpts from WPS and Highmark BCBS are below

Contractor Name
Wisconsin Physicians Service Insurance Corporation
LCD for Noninvasive Vascular Testing (N.I.V.T.) (L28586)

* Doppler waveform analysis including responses to compression and other maneuvers (93965)
* Impedance plethysmography (93965)
* Air plethysmography (93965)
* Strain gauge plethysmography (93965)

https://www.highmarkbcbswv.com/medpolicy/printerfriendly/M-14-001.html

Extremity Venous Studies Including Digits
Non-invasive physiologic studies of extremity veins (code 93965) may include one or more of the following:
• Continuous Doppler studies with evaluation of venous flow patterns and responses to compression and other maneuvers
• Phleborheography
• Impedance plethysmography
• Quantitative photoplethysmography
• Angiodynogram

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