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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 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $187.38 national non-facility rate (2026) · View Medicare rates for 93896 |
| Medicaid Fee Schedule | $155.155 median of the 8 states in the free preview · View Medicaid rates for 93896 |
National average reimbursement for CPT 93896 by major payers:

$218.27

$250.79

$898.89

$278.11
Choose a payer to see a sample of rates for CPT 93896.
Andrew Corona
Mid Coast Medical Center-Central
Wilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
Gustavo Delgado
El Paso County Hospital District
Susan Boehnlein
Professional Radiology, Inc.
Donna Medical Clonic
Donna Medical Clinic, P.A.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 93896 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93896 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 93896 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 |
|---|---|---|
| 93896-CPT | Moderate | Vsrctv Std Tcd Icr Art Compl, Vasoreactivity Study Performed With Transcranial Doppler Study Of Intracranial Arteries Complete (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93896. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93896 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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