Medicine: Noninvasive Vascular Diagnostic Studies (Q&A) (March 2015)

March 2015 page 10a Medicine: Noninvasive Vascular Diagnostic Studies Question: Does the procedure described in code 93975, Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study, include all diagnostic and routine ultrasound (US) imaging of the organ or just the diagnostic/routine US imaging of the vessels in the organ? Answer: No. If both a complete duplex exam and complete routine ultrasound exam are done then they are separately reportable. A duplex scan includes only the vessel flow study and not the diagnostic ultrasound of the organ itself. Question: If the...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains coding considerations for noninvasive vascular diagnostic studies, with emphasis on how duplex vascular imaging relates to routine ultrasound examinations in abdominal, pelvic, scrotal, and retroperitoneal organs. It is relevant to coders, billers, and clinicians working with diagnostic ultrasound services and CPT guidance in the Medicine section. The discussion focuses on separating study components and recognizing when different ultrasound services are addressed within the same encounter.

Why This Topic Matters

Accurate reporting of vascular and routine ultrasound services depends on understanding which parts of the examination are included in a given study and which may be reported separately. This article helps reduce coding errors in diagnostic imaging claims.

Article Sections

  1. Question and Answer on duplex and routine ultrasound reporting

    Addresses a coding question about how a vascular duplex study relates to routine ultrasound imaging of the organ being examined.

  2. Question and Answer on kidney vessel imaging and retroperitoneal ultrasound

    Discusses a second coding question involving renal vessel imaging, limited versus complete retroperitoneal ultrasound, and how these studies are categorized.

What You Will Learn

  • How the article frames duplex vascular studies in relation to routine ultrasound examinations
  • How the article addresses limited and complete retroperitoneal ultrasound contexts
  • How the article discusses coding questions involving renal vessel imaging and urinary tract ultrasound
  • How the article presents CPT Assistant guidance for noninvasive vascular diagnostic studies

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Radiology and ultrasound departments
  • Physician practice administrators

Codes Discussed


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