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76706 vs 93978

A few of our cardiology providers travel to Mount Carmel Hospital and perform or read Vascular studies. Recently one of our providers has started to drop CPT code 76706 (Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)) instead of 93978 (Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study). When i review the report for 76706 it is formatted and documented the same as a report for 93978.

I understand that 76706 is a screening and 93978 is a study but what are qualification for a screening vs a study?

Thank you!

Medical Billing and Coding Forum

76706 Screening AAA for patient over 75

Hi any advice for CPT 76706 if done on a patient over 75? The medicare guidelines state they cover this screening for male age 65-75 who has smoked.

From the report below, is 76706 the only option? This seems not to be a screening because the patient has a known infrarenal aaa. Could CPT 93978 be used, duplex scan of aorta, ivc, iliac complete?

HISTORY: Follow-up infrarenal abdominal aortic aneurysm, comparison CT scan last year.TECHNIQUE:
Multiple transverse and longitudinal images of the retroperitoneum, abdominal
aorta, and common iliac arteries
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FINDINGS:
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Abdominal Aorta: Continued infra renal aneurysm
Maximal AP diameter: 3.2 cm.
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Common iliac arteries: No aneurysmal dilatation.
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SITE: AP diameter (cm)
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Suprarenal Aorta 2.1
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Pararenal Aorta 2.0
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Infrarenal Aorta 3.2
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Right Common Iliac 1.2
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Left Common Iliac 1.0
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*
**
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CONCLUSIONS: Infrarenal aneurysm measuring 3.2 cm. No common iliac artery
aneurysm noted bilaterally
*

Medical Billing and Coding Forum