Comparison of 2010 and 2011 definitions for 93922-93924
Comparison of 2010 and 2011 definitions for 93922-93924
If you have been longing for more details in your noninvasive physiologic code definitions, your wish will be fulfilled in 2011.
CPT 2011 revises the definitions for 93922-93924. Take a look at how the 2010 and 2011 definitions compare for 93922-93924.
93922: Watch changes to number of levels
When looking at the 93922 definitions, notice that the 2010 version refers to single level, while the 2011 version offers several examples that refer to "1-2 levels":
This year: 93922 -- Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral (example, ankle/brachial indices, Doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement).
In the coming year: 93922 -- Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (example, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels).
93923: Number of levels are the key change once again
One of the changes to watch for 93923 is the switch from "multiple levels" in this year to "3 or more levels" in the coming year:
This year: 93923 -- Noninvasive physiologic studies of upper or lower extremity arteries, multiple levels or with provocative functional maneuvers, complete bilateral study (example, segmental blood pressure measurements, segmental Doppler waveform analysis, segmental volume plethysmography, segmental transcutaneous oxygen tension measurements, measurements with postural provocative tests, measurements with reactive hyperemia)
In the coming year: 93923 -- Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, three or more levels (example for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/ dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at three or more levels, or ankle/ brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at three or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at three or more level(s), or single level study with provocative functional maneuvers (example, measurements with postural provocative tests, or measurements with reactive hyperemia).
93924: Improve your understanding of this service
The change to 93924 is the addition of a lot more detail to explain what CPT intends the code to describe:
This year: 93924 -- Non-invasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, complete bilateral study.
In the coming year: 93924 -- Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (i.e., bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/ brachial indices immediately after and at timed intervals following performance of a standardized protocol on a motorized treadmill plus recording of time of onset of claudication or other symptoms, maximal walking time, and time to recovery) complete bilateral study.
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