Non-Invasive Peripheral Arterial Vascular Studies

Non-invasive peripheral arterial vascular studies are covered when signs or symptoms of limb ischemia or other specific vascular abnormalities are present and the results will affect medical or surgical management; testing to establish the level/degree of arterial occlusive disease is covered when the patient is a candidate for intervention. Coverage requires that tests be ordered by the treating physician, performed/interpreted by credentialed personnel or accredited laboratories, and that certain simple bedside tests or nonvalidated modalities (e.g., thermography, handheld Doppler without record) and screening asymptomatic patients are not separately reimbursable.

"Non-invasive peripheral arterial vascular studies are medically necessary when signs or symptoms of ischemia or altered peripheral arterial blood flow are present and the information is necessary f..."