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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 49 - Independent Clinic 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GA - Required ABN issued and on file 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93895 |
| Medicaid Fee Schedule | View Medicaid rates for 93895 |
National average reimbursement for CPT 93895 by major payers:

$60.00

$104.30

$172.17

$49,999.50
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See a sample payer proposalCPT 93895 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93895 code is part of the Medicine Services and Procedures services used for Non-Invasive Vascular Diagnostic Studies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93895 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93895-CPT | Low | Assessment Of Artery Blockage, Ultrasound Of The Carotid Artery (Large Blood Vessel Located In The Neck) To Assess Blockage Associated With Atherosclerosis (Clogged Arteries) Or Coronary Heart Disease. |
| 93922-CPT | Low | Upr L Xtremity Art 2 Levels, Limited Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries Eg For Lower Extremity Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Bidirectional Doppler Waveform Recording And Analysis At 1 2 Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Volume Plethysmography At 1 2 Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries With Transcutaneous Oxygen Tension Measurement At 1 2 Levels |
| 93923-CPT | Low | Upr Lxtr Art Stdy 3 Lvls, Complete Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries 3 Or More Levels Eg For Lower Extremity Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Blood Pressure Measurements With Bidirectional Doppler Waveform Recording And Analysis At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Volume Plethysmography At 3 Or More Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries Plus Segmental Transcutaneous Oxygen Tension Measurements At 3 Or More Levels Or Single Level Study With Provocative Functional Maneuvers Eg Measurements With Postural Provocative Tests Or Measurements With Reactive Hyperemia |
| 93924-CPT | Moderate | Lwr Xtr Vasc Stdy Bilat, Noninvasive Physiologic Studies Of Lower Extremity Arteries At Rest And Following Treadmill Stress Testing Ie Bidirectional Doppler Waveform Or Volume Plethysmography Recording And Analysis At Rest With Ankle Brachial Indices Immediately After And At Timed Intervals Following Performance Of A Standardized Protocol On A Motorized Treadmill Plus Recording Of Time Of Onset Of Claudication Or Other Symptoms Maximal Walking Time And Time To Recovery Complete Bilateral Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93895. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93895 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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