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93975/93976

Eunice Posted Mon 19th of November, 2012 16:06:35 PM

Is there specific guidelines for duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organ (93975/93976)?

We are receiving denial from insurance stating it's mutually inclusive to ultrasound.

Thank you!

SuperCoder Answered Mon 19th of November, 2012 17:14:25 PM

Medicine, Duplex Scan, 93975, 93976 (Q&A)) (April 1996). CPT® Assistant.
April 1996 page 11

Coding Consultation

Medicine, Duplex Scan, 93975, 93976 (Q&A)

Question

If a duplex scan of an abdominal organ is performed in conjunction with an abdominal ultrasound, how is this reported?

AMA Comment

A duplex scan of arterial inflow and venous outflow of abdominal, pelvic, and/or retroperitoneal organs is reported with either CPT code 93975 or code 93976, depending on whether a complete or limited study is performed. If the organ is evaluated in its entirety, then report code 93975. If only part of an organ is evaluated or the study is otherwise limited, then report code 93976. Report the duplex scan addition to the code for the abdominal ultrasound.

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