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See a sample rate comparisonCPT 93897 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Emboli Detcj Wo Iv Mbubb Njx, Emboli Detection Without Intravenous Microbubble Injection Performed With Transcranial Doppler Study Of Intracranial Arteries Complete (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $237.48 national non-facility rate (2026) · View Medicare rates for 93897 |
| Medicaid Fee Schedule | $196.585 median of the 8 states in the free preview · View Medicaid rates for 93897 |
National average reimbursement for CPT 93897 by major payers:
$280.94
$315.55
$904.95
$348.71
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CPT 93897
5 of 25 sample ratesHigher to lower in this preview
James Traiforos
Professional Radiology, Inc.
$424.73Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$281.50Published rateTitus County Hospital District, Titus Regional Medical Center
$216.86Published rateEl Paso County Hospital District, University Medical Center Of El Paso
$54.75Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$29.70Published rate
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See a sample payer proposalCPT 93897 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93897 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 93897 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 |
|---|---|---|
| 93897-CPT | Moderate | Emboli Detcj Wo Iv Mbubb Njx, Emboli Detection Without Intravenous Microbubble Injection 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 93897. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93897 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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