AMA CPT® Assistant - 2019 Issue 10 (October)
Duplex Scan of Arterial Inflow and Venous Outflow (October 2019)
October 2019 page 8 Duplex Scan of Arterial Inflow and Venous Outflow Two new Category I Current Procedural Terminology (CPT®) codes will be available in 2020 to report duplex scan of arterial inflow and venous outflow for preoperative vessel assessment before creation of a hemodialysis access. Code 93985 describes a complete bilateral study, while code 93986 describes a complete unilateral study. Prior to January 1, 2020, this service should be reported with Healthcare Common Procedure Coding System (HCPCS) code G0365, Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access...
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Article Overview
This article covers a CPT update tied to preoperative vascular mapping for hemodialysis access, including the transition from an existing HCPCS code to new CPT Category I codes and the surrounding subsection guidance. It is aimed at coding professionals, clinicians, and revenue cycle staff who need to understand the scope of the update, the related extremity vessel study references, and the kinds of clinical situations addressed by the article. The content also includes example procedural narratives and contextual notes from CPT Assistant.
Why This Topic Matters
Accurate reporting of vascular mapping studies for hemodialysis access depends on knowing which code set applies, how the new CPT codes are positioned, and what related studies are referenced in the guidance. This article helps readers understand the scope of the change and where the new reporting framework fits within broader extremity vascular testing.
Article Sections
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Duplex Scan of Arterial Inflow and Venous Outflow
Introduces the coding update for vascular mapping related to hemodialysis access and the transition from prior reporting to new CPT codes.
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Extremity Arterial-Venous Studies
Summarizes the broader extremity vessel study context and references related CPT codes and reporting relationships for arterial, venous, and physiologic studies.
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Clinical Example (93985) / Description of Procedure (93985)
Provides a representative clinical scenario and a procedural narrative associated with the bilateral study code.
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Clinical Example (93986) / Description of Procedure (93986)
Provides a representative clinical scenario and a procedural narrative associated with the unilateral study code.
What You Will Learn
- How the article situates the 2020 CPT update within hemodialysis access vessel assessment
- What broader categories of extremity vascular studies are referenced alongside the new guidance
- How the article frames clinical examples and procedure narratives for the updated reporting topic
- What organizations and code-set context are mentioned in connection with the update
Who Should Read This
- Medical coders
- Coding auditors
- Physician documentation staff
- Vascular laboratory staff
- Nephrology and vascular access clinicians
- Revenue cycle professionals
Codes Discussed
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