How To Use CPT Code 93930

CPT code 93930 describes the non-invasive duplex scan of the upper extremity arteries or arterial bypass grafts. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93930?

CPT 93930 can be used to describe the non-invasive duplex scan of the upper extremity arteries or arterial bypass grafts. This procedure allows healthcare providers to examine the rate of blood flow and assess the presence of blockage in the upper extremity arteries. It is a diagnostic test that combines traditional ultrasound with Doppler ultrasound to measure the speed and flow of blood.

2. Official Description

The official description of CPT code 93930 is: ‘Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study. Do not report 93930 in conjunction with 93985, 93986 for the same extremity[ies].’ This code specifically refers to a complete bilateral study of the upper extremity arteries or arterial bypass grafts.

3. Procedure

1. The patient lies on an exam table.
2. The healthcare provider applies gel to the area of the arms being studied to improve contact between the transducer and the skin.
3. The provider presses the transducer firmly against the skin and sweeps it back and forth over the area to be examined.
4. A duplex scan adds visualization and an imaging component to the Doppler waveform study.
5. The test usually takes about 30 minutes.

4. Qualifying circumstances

CPT 93930 is performed on patients who require a non-invasive evaluation of the upper extremity arteries or arterial bypass grafts. This procedure is used to assess the rate of blood flow and detect any blockages in these arteries. It is important to note that CPT 93930 should not be reported in conjunction with CPT codes 93985 and 93986 for the same extremity.

5. When to use CPT code 93930

CPT code 93930 should be used when a complete bilateral study of the upper extremity arteries or arterial bypass grafts is performed. It is appropriate when healthcare providers need to assess the blood flow and detect any blockages in these arteries. However, it should not be reported if CPT codes 93985 and 93986 are already used for the same extremity.

6. Documentation requirements

To support a claim for CPT 93930, healthcare providers must document the following information:

• Reason for the non-invasive duplex scan
• Specific details of the study, including whether it is a complete bilateral study
• Date and duration of the procedure
• Results of the scan, including any blockages or abnormalities detected
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 93930, healthcare providers should ensure that the procedure is a complete bilateral study of the upper extremity arteries or arterial bypass grafts. It should not be reported in conjunction with CPT codes 93985 and 93986 for the same extremity. It is important to follow the specific guidelines provided by the payer and use appropriate modifiers if necessary.

8. Historical information

CPT 93930 was added to the Current Procedural Terminology system on January 1, 1992. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs a non-invasive duplex scan of the upper extremity arteries to assess blood flow and detect any blockages in a patient with suspected arterial disease.
2. During a complete bilateral study of the arterial bypass grafts, the healthcare provider uses CPT code 93930 to evaluate the rate of blood flow and identify any abnormalities.
3. A patient with a history of arterial bypass grafts undergoes a non-invasive duplex scan of the upper extremity arteries to monitor the blood flow and ensure the grafts are functioning properly.
4. Using CPT code 93930, a healthcare provider performs a complete bilateral study of the upper extremity arteries to assess the blood flow and detect any blockages in a patient with symptoms of peripheral artery disease.
5. A patient who recently underwent arterial bypass graft surgery undergoes a non-invasive duplex scan of the upper extremity arteries to evaluate the success of the procedure and identify any complications.
6. During a routine check-up, a healthcare provider performs a complete bilateral study of the upper extremity arteries using CPT code 93930 to assess the patient’s overall vascular health.
7. A patient with a history of arterial blockages undergoes a non-invasive duplex scan of the upper extremity arteries to monitor the blood flow and detect any signs of recurrent blockages.
8. Using CPT code 93930, a healthcare provider performs a complete bilateral study of the arterial bypass grafts to assess their patency and detect any abnormalities.
9. A patient with symptoms of thoracic outlet syndrome undergoes a non-invasive duplex scan of the upper extremity arteries to evaluate the blood flow and identify any compression or blockages.
10. During a follow-up visit, a healthcare provider performs a complete bilateral study of the upper extremity arteries using CPT code 93930 to monitor the progress of a patient with a history of arterial disease.