The following are the CPT (Current Procedural Terminology) codes we recommend you review for use with Pulse Wave Analysis devices. Please note that we are not medical doctors nor are we trained CPT professionals. The information below is provided only for your billing professional to review.
Codes are not necessarily device specific, but are used to identify medical services and procedures for which physicians and medical professionals bill public or private health insurance programs.
The CPT code we recommend you review for the Plethysmogram (PTG) test is 93922. You may recognize this code in competitive products, as long as the procedure and service is identical. A good analogy would be a colonoscopy procedure. Physicians use the same CPT code, irrespective of whether the colonoscope device or system is made by Olympus, Pentax, Wolf, Stortz, or even Xillix Technologies. The key, once again, is accurately reflecting the procedure and service provided. These codes are controlled by the AMA (American Medical Association), and therefore, no one else can guarantee the codes, other than that they accurately reflect services / or procedures for which reimbursement is being sought.
Plethysmogram (PTG) Test CPT CODING 93922: “Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)” – From CPT Codebook 2015 (Recommendation: We found a point that we thought was important to add: Use 52 if You Fail the Bilateral Test. You may sometimes see the radiologist perform a study on only one side. Both 93922 and 93923’s descriptors specify “bilateral.” As a result, if you perform a unilateral upper or lower extremity physiologic arterial study, you should append modifier 52 (Reduced services) to 93922 or 93923. This modifier informs the payer that the radiologist did not perform the full service stated in the descriptor.)
Autonomic Function Test CPT CODING 95924/95943: We believe the applicable code usage to be described here:
“Code 95924 should be reported only when both the parasympathetic function and the adrenergic function are tested together with the use of a tilt table. (To report autonomic function testing that does not include beat-to-beat recording or for testing without use of a tilt table, use 95943).” There are a wide range of variables that affect the billing of autonomic function testing. Consult a billing professional to chose the appropriate code for your usage of this device.
*All above information is intended as advice only. For the correct billing practices in your state, consult a qualified medical billing professional. For usage and interpretation of medical results consult a physician or qualified healthcare professional. Seek the advice of a physician or qualified healthcare provider with any questions you may have about the correct usage of this device, interpretation of its results and correct billing practices.