Simple question that I have on NIVT and coding. I understand that there is an LCD from Medicare on NIVT and there are certain parameters that must be followed and documented that allow this testing as a billable service, BUT... In cases where the patient may be at risk for PAD (I hear is a "silent killer" according to the AHA), then why would you not be allowed to bill for screening a patient population for PAD with NIVT and bill for that service? If PAD is such a serious health concern in the US, then if you cannot bill for PAD screening, why not?
Case in point, I do screen a number of patients regularly that are at risk for PAD based on age and other physical signs with no real symptoms using in-office NIVT pre-op for major and minor surgery that are not presenting with any real PAD symptoms and "viola' " I have had the occasional patient with ABIs that are abnormal and hence then are required to seek a vascular consult before I can proceed with any planned procedure. In these cases where a patient has no history of symptoms, but then has an abnormal NIVT result can I bill for the NIVT using CPT 93922 or just bill for the E/M?
