simple | intuitive | effective...abis are calculated using the higher pressure at each ankle divided...
TRANSCRIPT
Reimbursable systems for the Diagnosis of PADAutomated systems for single level, multi-level, and stress testing
SIMPLE | INTUITIVE | EFFECTIVE
Auto cuff selectAuto InflateAuto Calculate
800-267-5549 | [email protected]
ReimbursableVascular SystemsFoR Any buDget...FoR Any testing PRotocol...
Abi-600cl – 93922, 93923, 93924 AutomAteD system FoR Abi, tbi, segmentAl, & stRess stuDiesAn advanced automated system for single level, multi level, & stress vascular studies.➥ Cuff‐Link™‐8 (8 port automated cuff selector, inflator, & PVR)➥ simpleABI 600CL Reporting Software➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 9 cuffs (4‐10cm; 4‐12cm; 1‐1.9cm)➥ Six button remote control
Abi-500cl – 93922 & 93923 AutomAteD system FoR Abi, tbi, & segmentAl stuDiesAn advanced automated system for single & multi‐level vascular studies.➥ Cuff‐Link™‐8 (8 port automated cuff selector, inflator, & PVR)➥ simpleABI 500CL Reporting software➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 9 cuffs (4‐10cm; 4‐12cm; 1‐1.9cm)➥ Six button remote control
Abi-400cl – 93922AutomAteD system FoR bAsic Abi & tbi stuDiesAn advanced automated system for single level examinations.➥ Cuff‐Link™‐4 (4 port automated cuff selector, inflator, & PVR)➥ simpleABI 400CL Reporting Software➥ Sensitive 8MHz Doppler ➥ PPG Probe➥ 5 cuffs (2 10cm; 2 12cm; 1 1.9cm)➥ Six button remote control
Abi-300 – 93922mAnuAl system FoR bAsic Abi & tbi stuDiesA manual, Pc-based system for single level examinations.➥ simpleABI 300CL Reporting Software➥ Sensitive 8MHz Doppler➥ PVR waveforms➥ 4 cuffs (2‐10cm; 2‐12cm) ➥ Manual cuff inflator
DD-PAD – non-ReimbuRsAble scReening system FoR PADDD-PADthe DD‐PAD is an effective way to screen for PAD in any office setting.➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 3 cuffs (1‐10cm; 1‐12cm; 1‐1.9cm)➥ Manual Cuff Inflator➥ Carry Bag
simPleAbi oR DD-PAD oPtionsnewman medical offers additional options for your equipment➥ PPG Probe➥ 12cm long cuffs➥ 17cm contoured thigh cuffs➥ Mobile Carry Bag➥ Netbook computer
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVEL
SEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MDInterpreting Physician Manage Risk FactorsIMPRESSION:
Physician CommentsPhysician Comments/
Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
Intermittent Location
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.comCopyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
Physician
PatientID
Date
Examiner
Gender M CaucasianRace
DOB 1/1/1942
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVEL
SEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MDInterpreting Physician Manage Risk FactorsIMPRESSION:
Physician CommentsPhysician Comments/
Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
Intermittent Location
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.comCopyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
Physician
PatientID
Date
Examiner
Gender M CaucasianRace
DOB 1/1/1942
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
➥ Roll stand with basket➥ Powerflate - push button
cuff inflator
NM0023B
ABI Stress Exams
MultiLevel Exams
Single Level Exams
Single Level Exams
Single Level Exams
MultiLevel Exams
Single Level Exams
Abi AnD VAsculAR testing mADe simPlesimpleABI Systems from Newman Medical make ABI and vascular testing simple and accurate. With the familiar and straightforward user interface of a PC coupled with the new automation of the simpleABI with Cuff Link, accurate testing and reporting is faster and easier than ever before. Pressures are taken with a sensitive Doppler – the required “gold standard” for vascular diagnosis.
simpleAbi with cuff‐link – simple, intuitive, effective.With the simpleAbi system you are lead through the exam by observing the report coming together on the screen – no need for memorization of complex menus or protocols. The new Cuff Link automates the selection of the cuffs one at a time to reduce errors and with the push of a remote button will automatically inflate and deflate the cuff. Another push captures the pressures or waveforms and the system automatically and correctly calculates the indices for interpretation and moves on to the next location. Diagnostic PVR waveforms are easy to obtain and provide additional diagnostic information.
Key FeAtuRescuff-link™Automatic cuff selector – easy & efficient workflowWith the Cuff‐Link™ automated cuff selector, single level or multi‐level exams proceed quickly to completion. No moving cuffs or tubing during standard exams, help your staff improve efficiency of vascular testing. Color coded connectors aid staff in tubing connection and clarity.
single level, multi-level, or stress – choose the system to meets your needssimpleABI systems have you covered from single level testing to multilevel testing to vascular stress testing. Whatever arterial testing you want, simpleABI systems have a solution.
computer based –connected, future proof, mobileMedicine is changing and the simpleABI systems are able to change with it. Being software based allows simpleABI systems to easily be updated to changes such as ICD codes or LCD requirements – IN YOUR OFFICE. Don’t get caught with outdated equipment that sits in the corner.
single Practice –multiple Practice –Hospital systemssimpleABI systems are inherently connected since they are PC based. Perform exams in a single office or across multiple offices. Put single level systems in referring practices and view, interpret, edit at specialist offices. Place simpleABI systems in a hospital setting to diagnose, capture, and treat those with PAD. simpleABI systems are easily transportable for mobile settings with an available compartmentalized carry bag.
Automated cuff selection makes testing quick and efficient
It’s Good MedicineDiagnosing PAD is good medicine
PAD is A seRious, unDeR DiAgnoseD, AnD unDeR tReAteD DiseAse8-12 million people in the U.S. are affected each year by PADConsider the following health issues associated with PAD:•3x increased risk of mortality•6x increase of mortality from heart attack, stroke•Serious decline in quality of life, risk of amputation
In the next five years, one in four of your patients with PAD will suffer a heart attack, stroke, amputation, or death. Increased office diagnosis of PAD using the ABI can be expected to improve clinical outcomes and may lead to decreasing rates of stroke and cardiovascular mortality.
PAD AFFects youR PAtient PoPulAtionConsider how many of your patients have at least one of these risk factors:•Age 65 or older•Age 50 to 64 and smoking or diabetes history•Age less than 50 with diabetes and one other atherosclerosis
risk factor such as smoking, hyperlipidemia, hypertension.•Leg pain symptoms with exertion or ischemic rest pain•Abnormal lower extremity pulse examination•Known atherosclerotic coronary, carotid, or renal arterial disease.
ReDuce oVeRAll HeAltHcARe costs in youR oRgAniZAtionStudies suggest that it can be cost effective to provide primary care offices with diagnostic systems for PAD testing, thus increasing revenues and improving patient care simultaneously. In return for the use of the simpleABI systems, offices provide information/referrals to the organizations if further evaluation or intervention is required. simpleABI diagnostic and screening systems are significantly less expensive than previous products, making it feasible for many more practices to test for PAD. We provide not only the products you and your referring practices need, but also training, educational materials, and marketing suggestions to bring more of the at risk patients into your system and increase referrals.
cPt coDe* AVeRAgeReimbuRsement (2013) test Results APPRoPRiAte
simPle Abi systems
93922 $104 bilateral single level Abi + Waveforms
Determine if PAD is present
300, 400cl, 500cl, 600cl
93923 $162 segmental – 3 or more levelslocate region of occlusion
500cl, 600cl
93924 $203Abi stress –Abi and
waveforms at rest and after treadmill stress testing
used when resting Abi is equivocal
600cl
‘Six button simplicity!’ simpleAbi with cuff-link remote
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.90
1.00-1.40
Incompressible>1.40 Borderline
Normal
800-267-5549(P) 888-202-3627(F)
Arvada CO 80002
Unit C
5350 Vivian Street
Newman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVELSEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MD
Interpreting Physician
Manage Risk Factors
IMPRESSION:
Physician CommentsPhysician Comments/ Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
Claudication R
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.com
Copyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
PhysicianPatientID
Date
Examiner
Gender MCaucasian
Race
DOB 1/1/1942
Segmental Exam from ABI-500CL
AutomAteD stRess system – Abi‐600clAuto cuFF select, Auto‐inFlAte, Auto‐cAlculAte
StressExamfromABI-600CL
*Current Procedural Terminology (CPT®) copyright 2013 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association.
Abi AnD VAsculAR testing mADe simPlesimpleABI Systems from Newman Medical make ABI and vascular testing simple and accurate. With the familiar and straightforward user interface of a PC coupled with the new automation of the simpleABI with Cuff Link, accurate testing and reporting is faster and easier than ever before. Pressures are taken with a sensitive Doppler – the required “gold standard” for vascular diagnosis.
simpleAbi with cuff‐link – simple, intuitive, effective.With the simpleAbi system you are lead through the exam by observing the report coming together on the screen – no need for memorization of complex menus or protocols. The new Cuff Link automates the selection of the cuffs one at a time to reduce errors and with the push of a remote button will automatically inflate and deflate the cuff. Another push captures the pressures or waveforms and the system automatically and correctly calculates the indices for interpretation and moves on to the next location. Diagnostic PVR waveforms are easy to obtain and provide additional diagnostic information.
Key FeAtuRescuff-link™Automatic cuff selector – easy & efficient workflowWith the Cuff‐Link™ automated cuff selector, single level or multi‐level exams proceed quickly to completion. No moving cuffs or tubing during standard exams, help your staff improve efficiency of vascular testing. Color coded connectors aid staff in tubing connection and clarity.
single level, multi-level, or stress – choose the system to meets your needssimpleABI systems have you covered from single level testing to multilevel testing to vascular stress testing. Whatever arterial testing you want, simpleABI systems have a solution.
computer based –connected, future proof, mobileMedicine is changing and the simpleABI systems are able to change with it. Being software based allows simpleABI systems to easily be updated to changes such as ICD codes or LCD requirements – IN YOUR OFFICE. Don’t get caught with outdated equipment that sits in the corner.
single Practice –multiple Practice –Hospital systemssimpleABI systems are inherently connected since they are PC based. Perform exams in a single office or across multiple offices. Put single level systems in referring practices and view, interpret, edit at specialist offices. Place simpleABI systems in a hospital setting to diagnose, capture, and treat those with PAD. simpleABI systems are easily transportable for mobile settings with an available compartmentalized carry bag.
Automated cuff selection makes testing quick and efficient
It’s Good MedicineDiagnosing PAD is good medicine
PAD is A seRious, unDeR DiAgnoseD, AnD unDeR tReAteD DiseAse8-12 million people in the U.S. are affected each year by PADConsider the following health issues associated with PAD:•3x increased risk of mortality•6x increase of mortality from heart attack, stroke•Serious decline in quality of life, risk of amputation
In the next five years, one in four of your patients with PAD will suffer a heart attack, stroke, amputation, or death. Increased office diagnosis of PAD using the ABI can be expected to improve clinical outcomes and may lead to decreasing rates of stroke and cardiovascular mortality.
PAD AFFects youR PAtient PoPulAtionConsider how many of your patients have at least one of these risk factors:•Age 65 or older•Age 50 to 64 and smoking or diabetes history•Age less than 50 with diabetes and one other atherosclerosis
risk factor such as smoking, hyperlipidemia, hypertension.•Leg pain symptoms with exertion or ischemic rest pain•Abnormal lower extremity pulse examination•Known atherosclerotic coronary, carotid, or renal arterial disease.
ReDuce oVeRAll HeAltHcARe costs in youR oRgAniZAtionStudies suggest that it can be cost effective to provide primary care offices with diagnostic systems for PAD testing, thus increasing revenues and improving patient care simultaneously. In return for the use of the simpleABI systems, offices provide information/referrals to the organizations if further evaluation or intervention is required. simpleABI diagnostic and screening systems are significantly less expensive than previous products, making it feasible for many more practices to test for PAD. We provide not only the products you and your referring practices need, but also training, educational materials, and marketing suggestions to bring more of the at risk patients into your system and increase referrals.
cPt coDe* AVeRAgeReimbuRsement (2013) test Results APPRoPRiAte
simPle Abi systems
93922 $104 bilateral single level Abi + Waveforms
Determine if PAD is present
300, 400cl, 500cl, 600cl
93923 $162 segmental – 3 or more levelslocate region of occlusion
500cl, 600cl
93924 $203Abi stress –Abi and
waveforms at rest and after treadmill stress testing
used when resting Abi is equivocal
600cl
‘Six button simplicity!’ simpleAbi with cuff-link remote
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.90
1.00-1.40
Incompressible>1.40 Borderline
Normal
800-267-5549(P) 888-202-3627(F)
Arvada CO 80002
Unit C
5350 Vivian Street
Newman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVELSEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MD
Interpreting Physician
Manage Risk Factors
IMPRESSION:
Physician CommentsPhysician Comments/ Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
Claudication R
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.com
Copyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
PhysicianPatientID
Date
Examiner
Gender MCaucasian
Race
DOB 1/1/1942
Segmental Exam from ABI-500CL
AutomAteD stRess system – Abi‐600clAuto cuFF select, Auto‐inFlAte, Auto‐cAlculAte
StressExamfromABI-600CL
*Current Procedural Terminology (CPT®) copyright 2013 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association.
Reimbursable systems for the Diagnosis of PADAutomated systems for single level, multi-level, and stress testing
SIMPLE | INTUITIVE | EFFECTIVE
Auto cuff selectAuto InflateAuto Calculate
800-267-5549 | [email protected]
ReimbursableVascular SystemsFoR Any buDget...FoR Any testing PRotocol...
Abi-600cl – 93922, 93923, 93924 AutomAteD system FoR Abi, tbi, segmentAl, & stRess stuDiesAn advanced automated system for single level, multi level, & stress vascular studies.➥ Cuff‐Link™‐8 (8 port automated cuff selector, inflator, & PVR)➥ simpleABI 600CL Reporting Software➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 9 cuffs (4‐10cm; 4‐12cm; 1‐1.9cm)➥ Six button remote control
Abi-500cl – 93922 & 93923 AutomAteD system FoR Abi, tbi, & segmentAl stuDiesAn advanced automated system for single & multi‐level vascular studies.➥ Cuff‐Link™‐8 (8 port automated cuff selector, inflator, & PVR)➥ simpleABI 500CL Reporting software➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 9 cuffs (4‐10cm; 4‐12cm; 1‐1.9cm)➥ Six button remote control
Abi-400cl – 93922AutomAteD system FoR bAsic Abi & tbi stuDiesAn advanced automated system for single level examinations.➥ Cuff‐Link™‐4 (4 port automated cuff selector, inflator, & PVR)➥ simpleABI 400CL Reporting Software➥ Sensitive 8MHz Doppler ➥ PPG Probe➥ 5 cuffs (2 10cm; 2 12cm; 1 1.9cm)➥ Six button remote control
Abi-300 – 93922mAnuAl system FoR bAsic Abi & tbi stuDiesA manual, Pc-based system for single level examinations.➥ simpleABI 300CL Reporting Software➥ Sensitive 8MHz Doppler➥ PVR waveforms➥ 4 cuffs (2‐10cm; 2‐12cm) ➥ Manual cuff inflator
DD-PAD – non-ReimbuRsAble scReening system FoR PADDD-PADthe DD‐PAD is an effective way to screen for PAD in any office setting.➥ Sensitive 8MHz Doppler➥ PPG Probe➥ 3 cuffs (1‐10cm; 1‐12cm; 1‐1.9cm)➥ Manual Cuff Inflator➥ Carry Bag
simPleAbi oR DD-PAD oPtionsnewman medical offers additional options for your equipment➥ PPG Probe➥ 12cm long cuffs➥ 17cm contoured thigh cuffs➥ Mobile Carry Bag➥ Netbook computer
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVEL
SEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MDInterpreting Physician Manage Risk FactorsIMPRESSION:
Physician CommentsPhysician Comments/
Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
Intermittent Location
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.comCopyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
Physician
PatientID
Date
Examiner
Gender M CaucasianRace
DOB 1/1/1942
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines (for ankles only)
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
ABC123
1/1/2013
Betty Smith, RVT
RIGHTBRACHIAL
Thigh
135
CPT CODE: 93923 Non-invasive physiologic studies of the upper or lower extremity arteries, multiple level, bilateral.
LOWER EXTREMITY PHYSIOLOGIC STUDY MULTIPLE LEVEL
SEGMENTAL 3 CUFF EXAM (PVR Waveforms)
130
mmHg
0.96
Index
Calf
81
mmHg
0.60
Index
PT
80
mmHg
0.59
Index
Thigh
139
mmHg
1.03
Index
Calf
138
mmHg
1.02
Index
PT
136
mmHg
1.01
Index
BRACHIAL
134
LEFT
DP
79
mmHg
DP
135
mmHg
Ted Johnson, MDInterpreting Physician Manage Risk FactorsIMPRESSION:
Physician CommentsPhysician Comments/
Recommendations
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
L
X other symptom
Intermittent Location
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
Technician Comments
www.newman-medical.comCopyright Newman Medical
Dr. John Smith
71
John DoePatient Name
Patient Age
Physician
PatientID
Date
Examiner
Gender M CaucasianRace
DOB 1/1/1942
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
Abnormal
ABI Guidelines
0.91-0.99 <0.901.00-1.40
Incompressible
>1.40
BorderlineNormal
800-267-5549(P) 888-202-3627(F)Arvada CO 80002
Unit C
5350 Vivian StreetNewman Medical
250.72 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type uncontrolled
ICD-9 CODES:
250.71 Diabetes Mellitus with Peripheral Circulatory Disorders Type I not stated as uncontrolled
250.70 Diabetes Mellitus with Peripheral Circulatory Disorders Type II or unspecified type not stated as uncontrolled
250.73 Diabetes Mellitus with Peripheral Circulatory Disorders Type I uncontrolled
Physician CommentsPhysician Comments/
Recommendations
Dr. John Smith
71
John Doe ABC123
1/1/2013
Betty Smith, RVT
Patient Name
Patient Age
Physician
PatientID
Date
Examiner
RIGHT
BRACHIAL
PT
RIGHT ABI
135
80
0.61
BRACHIAL
PT
LEFT ABI
134
136
1.01
CPT CODE: 93922 Non-invasive physiologic studies of the upper or lower extremity arteries, single level, bilateral.Copyright Newman Medical www.newman-medical.com
LEFT
LOWER EXTREMITY PHYSIOLOGIC STUDY SINGLE LEVEL
ABI EXAM (PVR Waveforms)
ABIs are calculated using the higher pressure at each ankle divided by the higher of the brachial pressures
L
X other symptom
IntermittentLocation
Calf
Thigh
Buttocks
Feet
X
X
R
R
R
R
L
L
L
L
Numbness,Tingling in Feet
Ulcerations
Rest Pain
Gangrene
X
X
Current Symptoms
ClaudicationR
R
R
R
R
L
L
L
L
DP 82 DP135mmHg mmHg
mmHg mmHg mmHg mmHg
Gender M CaucasianRace
Manage Risk FactorsIMPRESSION:Ted Johnson, MDInterpreting Physician
Technician Comments
DOB 1/1/1942
HyperlipidemiaTobacco Use
Risk Factors
X
X
Diabetes
Heart Disease
Prev CV Event
Stroke/TIA
Prev Vasc Surgery
Over Age 65
➥ Roll stand with basket➥ Powerflate - push button
cuff inflator
NM0023B
ABI Stress Exams
MultiLevel Exams
Single Level Exams
Single Level Exams
Single Level Exams
MultiLevel Exams
Single Level Exams