Partner with Bracco

See our extensive line

of products and solutions

The individuals who appear are for illustrative purposes. All persons depicted are models and not real healthcare professionals. US-N/A-2400043 05/24

Have a Question?
Print

Abdominal duplex scan assigned more than once on the same day

Q.

May an abdominal duplex scan (CPT® 93975) be assigned more than once on the same day?

A.

The MUE (Medically Unlikely Edit) is one. It would not be expected to see this code assigned more than once as it includes any and all of the abdominal, retroperitoneal and/or scrotal organs. The MAI (MUE adjudication indicator) is three, so it can be over-ridden by the MAC (Medicare Administrative Contractor) if medical necessity was proven.

If, for instance, the patient’s condition significantly changed and another scan was required, then you could assign this code again. Excellent documentation of medical necessity would be required for a second exam.