CPT code 93762 is used for a peripheral thermogram, a diagnostic test that measures temperature variations in the body's extremities.
CPT code 93762 is used to describe a peripheral thermogram, which is a diagnostic procedure that measures the temperature variations on the surface of the body. This test is often utilized to assess blood flow and detect abnormalities in circulation, particularly in the extremities. By capturing thermal images, healthcare providers can identify areas with potential vascular issues, aiding in the diagnosis and management of conditions such as peripheral artery disease.
For CPT code 93762, which pertains to a peripheral thermogram, the following modifiers may be applicable depending on the specific circumstances of the service provided:
1. Modifier 26 - Professional Component: This modifier is used when only the professional component of the service is being billed. It indicates that the provider is billing for the interpretation of the thermogram results, not the technical component.
2. Modifier TC - Technical Component: This modifier is used when only the technical component of the service is being billed. It indicates that the provider is billing for the equipment and technician services involved in performing the thermogram, not the interpretation.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day. It may be necessary if the thermogram is performed in conjunction with other procedures that are not typically reported together.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician on the same day. It indicates that the thermogram was performed more than once for the same patient on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the same procedure is repeated by a different physician on the same day. It indicates that the thermogram was performed more than once for the same patient on the same day by different physicians.
6. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Although typically used for laboratory tests, this modifier can be applicable if the thermogram is considered a diagnostic test and needs to be repeated for valid medical reasons.
These modifiers help clarify the specific circumstances under which the peripheral thermogram was performed and ensure accurate billing and reimbursement. Always verify payer-specific guidelines as they may have unique requirements for modifier usage.
CPT code 93762, which is associated with a peripheral thermogram, is not reimbursed by Medicare. This determination is based on the Medicare Physician Fee Schedule (MPFS), which outlines the services and procedures covered by Medicare and their respective reimbursement rates.
Additionally, Medicare Administrative Contractors (MACs), who are responsible for processing Medicare claims and determining local coverage decisions, generally do not provide reimbursement for this code.
It is important for healthcare providers to verify the coverage status of specific CPT codes with their respective MACs, as local policies can vary.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level, including specific codes like 93762. Schedule a demo today to see how RevFind can help you identify discrepancies with individual payers and ensure you're receiving the full reimbursement you deserve.
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