Additional Diagnosis Codes Added to Local Coverage Determination for Non-Invasive Vascular Studies
As reported in the January 2012 J15 Part B Medicare Bulletin (Non-Invasive Vascular Studies LCD Revised):
Effective December 1, 2011 the J15 CGS LCD for Non-Invasive Studies (L31841), Part A and B has been revised to include the following diagnoses as covered for the corresponding CPT codes:
Arterial Extremity Studies – CPT 93922-93926
785.9 Other symptoms involving cardiovascular system (arterial bruit, weak pulse)
Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs – CPT 93975-93976
584.9 Acute kidney failure, unspecified (non-traumatic acute kidney injury)
585.1-585.5 Chronic kidney disease Stages 1 through 5
585.6 End stage renal disease
585.9 Chronic kidney disease, unspecified
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts – CPT 93978-93979
440.21 Atherosclerosis of the extremities with intermittent claudication
440.22 Atherosclerosis of the extremities with rest pain
440.23 Atherosclerosis of the extremities with ulceration
440.24 Atherosclerosis of the extremities with gangrene
443.9 Peripheral vascular disease, unspecified
785.9 Other symptoms involving cardiovascular system (arterial bruit, weak pulse)
729.81 Swelling of limb
To review the entire LCD go to: L31841