ANS Testing Billing

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The autonomic nervous system is the system by which the body regulates physiological processes. Things like body temp, heart rate, digestion and even blood pressure are in included. There are two major divisions of ANS, the sympathetic and the parasympathetic systems.

Like all other systems of the body the ANS can develop disorders. Disorders of the ANS can have effects on many other systems of the body and identifying the moving to correct these disorders can be greatly beneficial to the health and wellbeing of patients.

Below are some quick reference codes for billing said products.

CODE REFERENCE

Covered Codes

Code Number Description
CPT-4
95921 Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio
95922 Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least 5 minutes of passive tilt
95923 Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential
HCPCS
ICD-9 Procedure ICD-10 Procedure
ICD-9 Diagnosis ICD-10 Diagnosis
249.60 – 249.61 Secondary diabetes mellitus with neurological manifestations range E08.40 – E08.49 Diabetes mellitus due to underlying condition with neurological complications
E08.610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
E09.40 – E09.49 Drug or chemical induced diabetes mellitus with neurological complications
E09.610 Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
E13.40 – E13.49 Other specified diabetes mellitus with neurological complications
E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy
250.60 – 250.63 Diabetes with neurological manifestations code range E10.40 – E10.49 Type 1 diabetes mellitus with neurological complications
E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E10.65 Type 1 diabetes mellitus with hyperglycemia
E11.40 – E11.49 Type 2 diabetes mellitus with neurological complications
E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E11.65 Type 2 diabetes mellitus with hyperglycemia
E13.40 – E13.49 Other specified diabetes mellitus with neurological complications
E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy
277.30 – 277.39 Amyloidosis E85.0 – E85.9 Amyloidosis
337.00 – 337.9 Disorders of the autonomic nervous system code range G90.1 – G90.9 Disorders of the autonomic nervous system
356.0 – 356.9 Hereditary and idiopathic peripheral neuropathy code range G60.0 – G60.9 Hereditary and idiopathic neuropathy
357.2 Polyneuropathy in diabetes E08.40, E08.42, E09.40, E09.42, E10.40, E10.42, E11.40, E11.42, E13.40, E13.42 See code descriptions above
357.4 Polyneuropathy in other diseases classified elsewhere G63 Polyneuropathy in diseases classified elsewhere
357.81 Chronic inflammatory demyelinating polyneuritis G61.81 Chronic inflammatory demyelinating polyneuritis
427.89 Other specified cardiac dysrhythmias I49.8 Other specified cardiac arrhythmias
710.2 Sicca syndrome M35.00 – M35.09 Sicca syndrome
780.2 Syncope and collapse R55 Syncope and collapse
785.0 Tachycardia, unspecified R00.0 Tachycardia, unspecified

CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

 

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