G517

PDF page 405 / G9

DIAGNOSTIC ULTRASOUND
 VASCULAR LABORATORY FEES
                                                                                                          H      P
      Ankle pressure measurements
   J200 - requires a minimum of 4 segmental pressure recordings
            and/or pulse volume recordings and/or Doppler recordings -
            unilateral or bilateral ...........................................................          20.40   21.40
   J196      - with exercise and/or quantitative measurements, to J200
               ................................................................................... add    8.00   10.10
         Note:
         1.G517 is not eligible for payment in addition to J200.
         2.This service is only eligible for payment when the device used produces a hard copy output.
         [Commentary:
         For ankle pressure determination and ankle-arm index, see G517 under Cardiovascular
         Diagnostic & Therapeutic Procedures.]

PDF page 433 / J19

BLOOD FLOW STUDY (DOPPLER OR OTHER) - UNILATERAL OR BILATERAL
    G517 Ankle pressure determination, includes calculation of the
           ankle-arm index systolic pressure ratio ..............................    10.05
       Note:
       1.G517 is not eligible for payment when rendered during surgery or during the patient's post-
         operative stay in hospital.
       2.G517 is not eligible for payment in conjunction with J200.
7

Master, record 2228. Record Layout PDF, page 1.

G51720250401999999990000010050000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.