Transcranial Doppler is considered a medically necessary procedure for a variety of vascular pathologies where assessment of blood flow velocity and emboli monitoring may be valuable.
Approved Indication:
- The Lucid M1 System is a medical ultrasound system intended for use as an adjunct to the standard clinical practices for measuring and displaying cerebral blood flow velocity within the major conducting arteries and veins of the head and neck. Additionally, the Lucid M1 System measures the occurrence of transient emboli signals within the blood stream.
- The device is not intended to replace other means of evaluating vital patient physiological processes, is not intended to be used in fetal applications, and is not intended to be used inside the sterile field.
Download the Billing and Reimbursement Info PDF.
Billing and Reimbursement Information
ICD-10 Diagnosis Codes* *
ICD-10 International Classification of Disease
ICD Diagnosis codes support medical necessity of a procedure. Attach to CPT code for billing.
| VASOSPASM | |
| I60 | Nontraumatic subarachnoid hemorrhage |
|---|---|
| I60.9 | Nontraumatic subarachnoid hemorrhage, unspecified |
| I61 | Nontraumatic intracerebral hemorrhage |
| I61.9 | Nontraumatic intracerebral hemorrhage, unspecified |
| I62 | Other and unspecified nontraumatic intracranial hemorrhage |
| I67.848 | Other cerebrovascular vasospasm and vasoconstriction |
| THROMBOTIC OCCLUSION | |
| I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
|---|---|
| I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
| I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
| I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries |
| EXTRACRANIAL STENOSIS | |
| I65 | Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction |
|---|---|
| I65.09 | Occlusion and stenosis of unspecified vertebral artery |
| I65.29 | Occlusion and stenosis of unspecified carotid artery |
| INTRACRANIAL STENOSIS | |
| I66 | Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction |
|---|---|
| I66.09 | Occlusion and stenosis of unspecified middle cerebral artery |
| I66.19 | Occlusion and stenosis of unspecified anterior cerebral artery |
| I66.29 | Occlusion and stenosis of unspecified posterior cerebral artery |
| I66.9 | Occlusion and stenosis of unspecified cerebral artery |
| I67.2 | Cerebral atherosclerosis |
| 163 | Cerebral infarction |
| I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral arteries |
| I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries |
| I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries |
| CEREBRAL ISCHEMIA | |
| G45.8 | Other transient cerebral ischemic attacks and related syndromes |
|---|---|
| I67.82 | Cerebral ischemia |
| I67.81 | Acute cerebrovascular insufficiency |
| CEREBRAL CIRCULATORY ARREST (BRAIN DEATH) | |
| G93.9 | Disorder of brain, unspecified |
|---|---|
| CEREBRAL UNRUPTURED ANEURYSM | |
| I67.1 | Cerebral aneurysm, nonruptured |
|---|---|
| CEREBRAL EDEMA | |
| G93.6 | Cerebral edema |
|---|---|
| ARTERIORVENOUS MALFORMATION | |
| Q28.2 | Arteriovenous malformation of cerebral vessels |
|---|---|
| SICKLE-CELL DISORDERS | |
| D57.0 – D57.819 | Sickle-cell disorders |
|---|---|
Billing and Reimbursement
| CPT* Current Procedural Terminology CPT codes consist of Technical Component (TC) for technician reimbursement, Professional Component (PC) for physician reimbursement. Medicare: 20% Technical, 80% Professional Medicare National Average Reimbursement |
||
| 93886 | Complete Circle Evaluation | $280.08 |
|---|---|---|
| 93888 | Limited Evaluation (including Hyperostosis) | $159.12 |
| 93890 | Vasoreactivity Study | $286.56 |
| 93892 | Emboli Detection without IV Microbubble Injection | $328.68 |
| 93893 | Emboli Detection with IV Microbubble Injection | $356.40 |
Typical Private Sector Reimbursement
Blue Cross/Blue Shield/Anthem/Medical Mutual: Up to 82%
Managed Commercial Care (HMO): Up to 50-60%
Please note reimbursement in your state or by your carrier may vary.
Private sector fees vary.
This information is provided as a general guideline only. Neural Analytics Incorporated makes no representations, warranties, or guarantees as to the accuracy, timeliness, or completeness of the information provided herein. The information about Medicare’s relative value payment represents a national average reimbursement amount associated with the codes. This fee schedule applies to Medicare payments only and may not reflect the true cost of the services provided.
*Current Procedural Terminology (CPT®) 2015, American Medical Association.
CPT is a registered trademark of the American Medical Association. All rights reserved.
**ICD-10-CM 2016, American Medical Association
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