tci Outpatient Facility Coding Alert - 2019 Issue Q3

Reader Question: Know Which Dxs Correspond to ABI, Flow Velocity

Question: On a complete bilateral duplex scan of the lower-extremity arteries, I am confused as to which diagnosis code(s) to report. In the impression, the radiologist documents bilateral increased flow velocity of the distal SFA and mildly decreased left ABI. He also documents bilateral leg pain in the indication. Which diagnoses should I code? Utah Subscriber Answer: First, you want to know exactly what the physician is referring to when he documents increased flow velocity and decreased left ankle-brachial index (ABI). Determination of flow velocity is simply a measurement of the speed of the intra-arterial blood blow of a...

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