ArticleActive
Billing and Coding: Duplex Scanning
A57636
First Coast Service Options, Inc. (J09)
Effective: October 1, 2025
Updated: December 31, 2025
See LCD L33674Policy Summary
This billing and coding article defers to Local Coverage Determination L33674: duplex scanning is covered only when reasonable and necessary per the LCD. Claims must be supported by complete, legible medical records that justify the selected ICD-10-CM and CPT/HCPCS codes, include the treating provider’s order and signature, and retain documentation of results when the performing provider differs from the ordering provider; non-covered services must be billed with the appropriate modifier.
Coverage Criteria Preview
Key requirements from the full policy
"Duplex scanning is covered only when it meets the reasonable and necessary requirements specified in Local Coverage Determination L33674."
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