Reimbursement Information
Important information regarding reimbursement for CorVascular products and services.
Disclaimer
CorVascular is not responsible for the contents of the information provided in this document. Every effort is made to ensure the accuracy of the data. However, CorVascular disclaims any implied or expressed guarantee of payment to physicians. Requirements and payment amounts may vary between Medicare providers. Diagnostic testing guidelines vary from state to state. Check with your local Medicare provider to ensure that your testing criteria are correct for your location.
CPT/HCPCS Codes
CPT Code 93922
Description
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
Indications
- Evaluation of peripheral arterial disease (PAD)
- Assessment of arterial stenosis or occlusion
- Pre-operative evaluation for vascular surgery
- Post-operative follow-up of vascular procedures
- Evaluation of arterial trauma
Required Components
- Ankle-brachial index (ABI) measurements
- Segmental pressure measurements (minimum 2 levels)
- Pulse volume recordings (PVR)
- Waveform analysis
Documentation Requirements
- Clinical indication for the study
- Patient's symptoms and history
- Detailed measurements and findings
- Interpretation of results
- Comparison with previous studies (if applicable)
Reimbursement Information
- Status: Active
- Type of Service: Diagnostic Tests
- Typical Medicare Reimbursement: $150-200 (varies by region)
- Commercial Insurance: Varies by plan
CPT Code 93923
Description
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries
Indications
- Comprehensive evaluation of PAD
- Pre-operative planning for complex vascular procedures
- Evaluation of multi-level arterial disease
- Assessment of collateral circulation
- Complex vascular pathology evaluation
Required Components
- All components of 93922
- Additional segmental pressure measurements (3 or more levels)
- Detailed PVR analysis
- Doppler waveform analysis at multiple levels
- Exercise testing (if clinically indicated)
Documentation Requirements
- Comprehensive clinical history
- Detailed physical examination findings
- Complete measurements at all levels
- Comprehensive interpretation
- Comparison with previous studies
- Clinical correlation and recommendations
Reimbursement Information
- Status: Active
- Type of Service: Diagnostic Tests
- Typical Medicare Reimbursement: $250-300 (varies by region)
- Commercial Insurance: Varies by plan
CPT Code 93924
Description
Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing
Indications
- Evaluation of exercise-induced claudication
- Assessment of functional capacity in PAD
- Pre-operative evaluation for revascularization
- Post-intervention follow-up
- Evaluation of treatment effectiveness
Required Components
- Baseline measurements (ABI, PVR)
- Standardized treadmill protocol
- Post-exercise measurements
- Recovery period monitoring
- Functional assessment
Documentation Requirements
- Baseline measurements
- Exercise protocol details
- Exercise duration and symptoms
- Post-exercise measurements
- Recovery time and pattern
- Functional assessment results
- Clinical correlation
Reimbursement Information
- Status: Active
- Type of Service: Diagnostic Tests
- Typical Medicare Reimbursement: $300-350 (varies by region)
- Commercial Insurance: Varies by plan
Important Notes
- Reimbursement amounts are subject to change and vary by region and payer
- Proper documentation is essential for successful reimbursement
- Medical necessity must be clearly established
- Follow local coverage determinations (LCDs) for specific requirements
- Keep detailed records of all studies performed
Contact Information
For specific questions about reimbursement, please contact our reimbursement specialists:
Phone: 888-829-1770
Email: info@CorVascular.com