Preventative Services: Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

January 11th, 2018 - Find-A-Code
Categories:   HCPCS Coding   Medicare   Cardiology|Vascular   Emergency Medicine   Gastroenterology   Laboratory|Pathology   Oncology|Hematology   Primary Care|Family Care   Radiology   Billing  
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The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Ultrasound Screening for Abdominal Aortic Aneurysm (AAA): 

HCPCS/CPT Codes

G0389 - Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening

ICD-10 Codes

See the CMS ICD-10 webpage for individual CRs and coding translations for ICD-10, and contact your MAC for guidance.

Who Is Covered

Medicare beneficiaries when all of the following are true:

  • Certain risk factors for AAA
  • Receive a referral from their physician, physician assistant, nurse practitioner, or clinical nurse specialist

Frequency

Once in a lifetime

Medicare Beneficiary Pays

  • Copayment/coinsurance waived
  • Deductible waived

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.

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