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ABI is Non Compressible

Date: Feb 16, 2022

Question:

How would this be coded? 93922/52 or 93998?

Impression:

1. The ABI is falsely elevated bilaterally.

2. The TBI is abnormal bilaterally.

RIGHT LOWER EXTREMITY:Ankle pressures are falsely elevated. The ankle/brachial index is non compressible. The digital index is 0.55. Doppler waveforms are multiphasic in the dorsalis pedis artery and posterior tibial artery. 

LEFT LOWER EXTREMITY:Ankle pressures are falsely elevated. The ankle/brachial index is non compressible. The digital index is NC. Doppler waveforms are multiphasic in the posterior tibial artery and dorsalis pedis artery. 

RIGHT LEG

Brachial---156 mmHg

Ankle (PT)--->254 mmHg (NC)

Ankle (DP)--->254 mmHg (NC)

Digit---86 mmHg (0.55) 

LEFT LEG

Brachial---140 mmHg

Ankle (PT)--->254 mmHg (NC)

Ankle (DP)---206 mmHg (1.32)

Digit--->254 mmHg (NC) 

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