Basic about Cpt Code 93923 & 92922
There are few CPT codes in Radiology coding which are easy to read by difficult to apply. Since, we are dealing with codes, which have particular dollar value, so it is very important to understand the main concept about CPT codes. So, we are here to know about CPT code 93923, which is very confusing while coding radiology charts. Cpt Code 93923 has a brother with CPT code 93922, which is very quite similar. These CPT codes are used to code the vascular procedure codes. We have learnt previously coding Cpt code for Ultrasound aorta, Ultrasound renal and Ultrasound abdomen studies. There is very little difference between 93922 and 93923 CPT codes, which generally makes difficult for the coders to apply while coding charts. So, we will just check out first what the description for CPT code 93923 and 93922 is
• 93922 — Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial indices, Doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement).
• 93923 — Noninvasive physiologic studies of upper or lower extremity arteries, multiple levels or with provocative functional maneuvers, complete bilateral study (eg, 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).
Concept about Cpt code 93923 and 93922
Now, as we see through the description for CPT code 93922 involves noninvasive study of either both Lower extremity or upper extremity arteries at a single level. A single level study can be evaluation of Doppler waveform analysis, volume plethysmography and/or transcutaneous oxygen tension measurement at each ankle. Same single level evaluation can be done on upper extremities as well. Moreover, when both the upper and lower extremities are studied we have to use twice 93922 along with 59 or XS modifier depending on the client guidelines. So, hope you have understood when to code CPT code 93922 in non-invasive studies.
Cpt Code 93923 noninvasive studies are done on multiple levels. This is major difference between CPT cod 92922 and 93923. Cpt Code 93923 involves study of either upper or lower extremities at multiple levels. So, if a multiple level study can be evaluation of segmental blood pressure measurements, segmental Doppler waveform analysis, segmental volume plethysmography, segmental transcutaneous oxygen tension measurements, measurements with postural provocative tests and/or measurements with reactive hyperemia. So, here majorly the segmental pressure measurement gets included with CPT code 93923. Same goes with upper extremities. And when both the Upper and Lower extremities are evaluated we will use twice 93923 along with 59 or XS modifier depending on the client coding guideline.
Easily tips to code CPT code 93923 and 93922
First of all just check the report whether Ankle brachial index (ABI) is done or not. It is the foremost thing done with CPT code 93923 and 93922. If it is done, then do check whether there is presence of segmental pressure of not. If the report evaluates the segmental pressure we can go ahead and code CPT code 93923 and if not we will code 93922. I generally look for these things if I have to code any of these CPT codes. However, the more you come across such report, the more your concepts become clear. So, do check the report properly to code CPT code 93923.