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billing codes

Cathy Posted Wed 20th of March, 2013 15:00:23 PM

Can the 99201 new patient / 99211 established patient be billed with 93925 ABI?

SuperCoder Answered Thu 21st of March, 2013 15:53:52 PM

Assuming you have a separately identifiable E/M meeting 99201 or 99211 requirements, there’s no CCI edit blocking you from reporting an E/M with 93925.

However, be sure 93925 is the appropriate code for the service provided. Review codes 93922-93923 and the accompanying guidelines for services required in addition to ABI. E.g., “The use of a simple hand-held or other Doppler device that does not produce hard copy output, or that produces a record that does not permit analysis of bidirectional vascular flow, is considered to be part of the physical examination of the vascular system and is not separately reported. The Ankle-Brachial Index (or ABI) is reportable with 93922 or 93923 as long as simultaneous Doppler recording and analysis of bidirectional blood flow, volume plethysmography, or transcutaneous oxygen tension measurements are also performed.”

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