Ankle Brachial 2021 Coding and Index Reimbursement Guide

1 2021 Coding and Reimbursement GuideAnkle Brachial Index CPT Code: 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries. CPT Code: 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels. CPT Code: 93924 Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress DIAGNOSIS of native arteries of extremities with intermittent claudication, unspecified of native arteries of extremities with rest pain, other of native arteries of extremities with rest pain, unspecified of native arteries of other extremities with of native arteries of extremities with gangrene, unspecified atherosclerosis of native arteries of extremities, unspecified extremityI70-I79 - Diseases of arteries.

2 Arterioles and capillariesFor extended ICD-10 diagnosis specific to extremity and anatomical location refer to: DIAGNOSIS of artery of lower extremityICD-10-CM DIAGNOSIS CODESI vascular disease, unspecifiedAneurysmPeripheral Vascular DiseasePossible ICD-10-CM Diagnosis Codes for Procedure Code 93922, 93923 and 93924 Not all inclusive diagnosis code list. Refer to 2021 ICD-10-CM manual for code specificity. Note: Arterial exams must be considered medically necessary in order to be eligible for DIAGNOSIS or chemical induced diabetes mellitus with other circulatory 1 diabetes mellitus with other circulatory 2 diabetes mellitus with other circulatory specified diabetes mellitus with other circulatory complicationsE08-E13 - Diabetes MellitusFor specificity, refer to additional codes within this all inclusive diagnosis code list.

3 Refer to manual for code above codes are examples only. Check the appropriate Medicare Administrative Contractor (MAC) local coverage policy for your jurisdiction for a complete list of ICD-10-CM and Coding information provided herein is gathered from third-party sources and is subject to change. This information is presented for illustrative purposes only. This information does not constitute Reimbursement or legal advice, and is not intended as a guarantee of coverage or payment at any particular payment rate. CooperSurgical makes no representation or warranty regarding this information or its completeness, accuracy or timeliness.

4 Laws, regulations and payer policies concerning Reimbursement are complex and change frequently. The decision about which code(s) to report must be made by the billing provider/ physician considering the clinical facts, circumstances, and applicable Coding rules. The code(s) selected should be supported by the contents of any clinical notes and/or chart documentation. Please contact your third-party payer for more specific guidance. 2021 Coding and Reimbursement GuideAnkle Brachial Index2021 Medicare Part B Fee ScheduleLOCATIONCPT Code 93922 CPT Code 93923 CPT Code 93924 Alabama$ $ 121.

5 75$ $ $ $ $ $ $ $ $ $ Ana (26)$ $ $ Angeles (18)$ $ $ (51)$ $ $ (52)$ $ $ (53)$ $ $ County (55), Fresno County (56), Kings County (57), Madera County (58), Merced County (59), Stanislaus County (60), Shasta County (61), San Joaquin County (68), Tulare County (69), Sutter County (70), all other Counties (75)$ $ $ County (54)$ $ $ Luis Obispo County (73)$ $ $ and San Bernardino County (62)$ $ $ and Sacramento County (63)$ $ $ County (64)$ $ $ Cruz County (66)$ $ $ County (67)$ $ $ (07)$ $ $ Benito County (65)$ $ 173 . 9 5$ Francisco (05)$ $ $ Mateo (06)$ $ $ Diego (72)$ $ $ Clara (09)$ $ $ (17)$ $ $ Barbara County (74)$ $ $ County (71)$ $ $ $ $ 13 9.

6 9 8$ GLOBAL IN-OFFICE (NON-FACILITY) REIMBURSEMENT2021 Coding and Reimbursement GuideAnkle Brachial IndexLOCATIONCPT Code 93922 CPT Code 93923 CPT Code 93924 Connecticut$ $ $ $ $ 13 7. 51$ Lauderdale (03)$ $ $ (04)$ $ $ of Florida (99) (formerly 01/02)$ $ $ (01)$ $ $ of Georgia (99)$ $ $ $ $ 151 .12$ 18 7. 9 7 Idaho$ $ $ 14 7. 91 Illinois-Suburban Chicago (15)$ $ $ 17 7. 9 7 Illinois-Chicago (16)$ $ $ St. Louis (12)$ $ $ of Illinois (99)$ $ 12 5 .19$ $ $ $ $ $ $ $ $ $ $ $ $ Orleans (01)$ $ $ of Louisiana (99)$ 7 $ $ Maine (03)$ $ $ of Maine (99)$ $ $ Co. (01)$ $ $ of Maryland (99)$ $ $ Boston (01)$ $ 15 9.

7 15$ of Massachusetts (99)$ $ $ (01)$ $ $ of Michigan$ $ $ $ 8 $ $ $ $ $ Medicare Part B Fee ScheduleMEDICARE GLOBAL IN-OFFICE (NON-FACILITY) REIMBURSEMENT2021 Coding and Reimbursement GuideAnkle Brachial IndexLOCATIONCPT Code 93922 CPT Code 93923 CPT Code 93924 Missouri-Metro St. Louis (01)$ $ 131 . 9 6$ Kansas City (02) (formerly 02/03)$ $ $ of Missouri (99) (formerly 01/06)$ $ $ $ 8 $ $ $ $ $ $ $ 13 5 . 9 7$ Hampshire$ $ $ Jersey-Northern New Jersey (01)$ $ $ Jersey-Rest of New Jersey (99)$ $ $ Mexico$ $ $ York-Manhattan (01)$ $ 162 .16$ York-NYC Suburbs/Long Island (02)$ $ $ York-Poughkeepsie/N NYC Suburbs (03)$ $ $ York-Queens (04)$ $ $ York-Rest of New York (99)$ $ 12 9.

8 17$ Carolina$ $ $ Dakota$ $ $ $ $ 12 5 .1 0$ $ $ $ (01)$ $ $ of Oregon (99)$ $ $ Philadelphia (01)$ $ $ of Pennsylvania (99)$ $ $ Rico$ $ 13 5 . 9 4$ Island$ $ $ Carolina$ $ $ Dakota$ $ $ $ $ 121 .17$ (09)$ $ 13 $ Medicare Part B Fee ScheduleMEDICARE GLOBAL IN-OFFICE (NON-FACILITY) REIMBURSEMENT2021 Coding and Reimbursement GuideAnkle Brachial IndexLOCATIONCPT Code 93922 CPT Code 93923 CPT Code 93924 Texas-Dallas (11)$ $ $ (15)$ $ $ (18)$ $ $ (20)$ $ $ Worth (28)$ $ $ (31)$ $ $ of Texas (99)$ $ $ $ $ $ $ $ $ Islands$ $ 13 5 . 9 4$ $ $ $ Co. (02)$ $ $ of Washington (99)$ $ $ MD/VA Suburbs$ $ $ Virginia$ $ $ 14 7.

9 01 Wisconsin$ $ $ $ $ $ 16 Medicare Part B Fee ScheduleMEDICARE GLOBAL IN-OFFICE (NON-FACILITY) REIMBURSEMENTC-US-ABI-000001 Rev. 2/21 2021 CooperSurgical, Inc.* For a complete list of ICD-10-CM diagnosis codes, please consult the 2021 ICD-10-CM codebook. CooperSurgical is not suggesting that the above CPT codes will be covered if you use these ICD More InformationContact the Reimbursement Center at or 2021 AMA CPT Professional Edition 2021 ICD-10-CM The Complete Official Codebook, AMA 2021 National Physician Fee Schedule Relative Value File CY2021 Final Rule 12/28/2020 Medicare - National Correct Coding Policy Manual, Physician Version 23 Effective January 1, 2021 Reference: 2021 Current Procedural Terminology (CPT ) copyright 2017 American Medical Association.

10 All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.