08/10/2020

Correct Diagnosis for CPT 93922

What is the correct diagnosis code to use for Cpt code 93922?

While there is no LCD policy that NGS has published that shows what codes are medically necessary for an ABI study, the following conditions listed below are common conditions under the scope of podiatry that would be considered medically necessary. This should not be considered an all-inclusive list of conditions, and benefits should be verified to confirm whether or not what conditions would be covered under the patient’s plan, or if the test is payable when performed by a DPM:

• Diabetes associated with peripheral angiopathy (E08.5X, E09.5X, E10.5X, E11.5X or E13.5X)
• Athrosclerosis of the extremities (I70.20X)
• PVD (I73.89)