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Summit ABI VISTA AVS Ankle Brachial Index Doppler. This is the model L450VA and it retails for $4995. MEDICARE REIMBURSEMENT: CPT Code: 93922 Ankel Brachial Index (ABI) = Non-invasive physiologic studyies of upper and lower extremity arteries; bilateral single level. Medicare reimbursement varies by state but on average you can bill Medicare $75 for each examination. So if you do 3 examinations a week, you will be able to bill $11,700 a year. Easily justifying the cost of this machine and with the forms and printout, all requirements are met.

ABI EXAM EXPLAINED: The most common test to diagnose Peripheral Arterial Disease (PAD) is the Ankle Brachial Index (ABI) examination. The ABI is a simple non-invasive test performed with a monitor and blood pressure cuffs. The test measures the systolic pressures at the lower and upper extremeties. If the ankle systolic pressure is lower than the arm systolic pressure the patient could have some stage of peripheral arterial disease. An ABI chart is used to calculate the results. Risk factors are: leg pain, diabetes, heart disease, previous vascular sugery, numbness/tingling in lower extremeties, over 50 years of age, hypertension and smoking. We carry the entire line of Summit monitors and accessories. 

The Vista AVS makes the ABI and other arterial exams faster and easier to conduct, interpret and document. The exam is managed by an on-screen guide and hand-held controller. Advanced diagnostic features have been included to enable the user to perform fast, efficient peripheral arterial exams. The Vista AVS has three modality options that allow for variation in obtaining systolic pressures and waveforms. Either the bi-directional Doppler probe or pulse volume recording (PVR) can be used to obtain ankle waveforms for reimbursement. Pressures are obtained by using either the bi-directional Doppler probe or the PPG probe.

The Vista AVS is a full-featured Vascular/ABI system with 3 modalities: PVR, bi-directional Doppler probe and arterial PPG. With automated cuff inflation/deflation, built-in printer, graphic waveform display with step-by-step ABI instructions, and 5 cuffs. It comes with a PC software package with full-page reporting and exam storage, including download capability for integration into EMR systems (pdf and csv file formats - USB Interface to PC). It is designed to make the ABI and other arterial exams faster and easier to conduct, interpret and document.

Features and Options:
-  Automatic cuff inflation/deflation system
- Three modalities – Doppler, PVR, and arterial PPG
- Automatic ABI & TBI calculation
- Built-in printer for waveforms, pressures, and index printed on adhesive-backed label paper
- Graphic waveform display with step-by-step instructions
- Battery or line powered
- Includes 5 cuffs – 2,10cm – 2,12cm – 1,1.9cm digit cuff
- 8MHz Bi-Directional probe (Optional 5MHz probe Available)
- Software package with full page reporting and exam storage, download capability to EMR systems in pdf or csv format.

Doppler:
Bi-directional Doppler probe is used to obtain both systolic pressures and waveforms. Blood flow toward the probe is indicated above the baseline and flow away is indicated below. Pressures obtained by using a Doppler are considered the gold-standard for the ABI exam.

PVR:
PVR is another method to obtain a waveform by applying cuffs to the limb and inflating to 65mmHg to detect the minuscule fluctuations in limb volume that occur with each heartbeat. Since Doppler sensitivity may be diminished due to arterial calcification, PVR is usually the option of choice for obtaining a peripheral arterial waveform from patients with noncompressible arteries, such as patients with diabetes and renal disease.

PPG:
Arterial PPG is another modality used for detecting small changes of blood volume. When used with a digit cuff, the PPG is quite useful for measuring toe pressures of patients with noncompressible arteries. The comparison of toe pressure to brachial pressure is referred to as the Toe Brachial Index (TBI) exam.

Please allow 7-10 business days for delivery