CPT 93922 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | • 11 - Office • None |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 93922 by major payers:
$101.34
$120.56
$125.46
$143.27
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93922 | ||||||
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CPT 93922 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93922 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 93922 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 |
|---|---|---|
| 93880 | Moderate | Duplex Scan Extracrani Art;Comp Bil |
| 93882 | Low | Duplex Scan Extracrani Art; F/U Ltd |
| 93890 | Moderate | Non-Invas.Study-Upper Extrem.Artery |
| 93922 | Low | Limited Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries (Er For Lower Extremity Ankle/Brachial Indices At Sital 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/Dorasalis Pedis Arteries Plus Volume Pletheysmography At 1-2 Levels Or Ankle/Brachial Indices At Distal Posterior Tibial And Anterior Tibail/Dor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93922 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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
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