"CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."
Medicare provides coverage of a one-time preventive ultrasound screening for the early detection of an AAA for eligible beneficiaries who meet the following criteria:
The beneficiary receives a referral for an ultrasound screening for AAA as a result of an IPPE;
The beneficiary receives a referral from a provider or supplier who is authorized to provide covered ultrasound diagnostic services;
The beneficiary has not been previously furnished an ultrasound screening for AAA under the Medicare Program; and The beneficiary is included in at least one of the following risk categories:
The beneficiary has a family history of AAAs
The beneficiary is a man 65 through 75 years of age who has smoked at least 100 cigarettes in his lifetime; or
The beneficiary manifests other risk factors in a beneficiary category recommended for ultrasound screening by the United States Preventive Services Task Force (USPSTF) regarding AAAs,as specified by the Secretary of Health and Human Services through the national coverage determination process.
CPT / HCPCS Code for Ultrasound Screening for AAA
G0389 Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening
Diagnosis Codes for Ultrasound Screening for AAA
V15.82 Personal history of tobacco use presenting hazards to health
V17.4 Family history of other cardiovascular disease
V81.2 Special screening for other and unspecified cardiovascular conditions
Medicare provides coverage of ultrasound screening for AAA as a Medicare Part B benefit. For dates of service prior to January 1, 2010, the coinsurance or copayment applies for this benefit. The Medicare Part B deductible is waived. For dates of service on or after January 1, 2011, both the coinsurance or copayment and deductible are waived.
Also see 'Medicare Waiver of Co-insurance and Deductible (CY 2011 Updates) Complete list of CPT / HCPCS codes'.
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
Current coding for testing for drugs of abuse relies on a structure of “screening” (known as “presumptive” testing) followed by “confirmat...
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
Myocardial perfusion imaging is being done to determine the significance or the extent of myocardial ischemia (or scar), or to assess my...
Medicare does not currently pay for the Tetanus vaccines as they consider it preventive and it doesn’t happen to be one of the preventive...
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...
Section 4163 of the Omnibus Budget Reconciliation Act of 1990 added §1834(c) of the Act to provide for Part B coverage of mammography sc...
Evaluation Codes (CPT Codes 97001 and 97002 for physical therapy) and (CPT Codes 97003 and 97004 for occupational therapy)The initial evaluation identifies the problem or difficulty the patient is having which helps determine the appropriate therapy necessar...
This therapeutic procedure is provided to improve balance, coordination, kinesthetic sense, posture, and proprioception (e.g., proprioc...