CPT 93923 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 • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 93923 by major payers:
$155.26
$187.41
$195.57
$224.43
| 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 93923 | ||||||
United | 93923 | $175.35 | 1104809367 - LAWRENCE ROTHENBERG | 860749660 - (AZ) AIMS PHYSICIANS AND SURGEONS | AZ | Internal Medicine Physician (207R00000X) |
United | 93923 | $130.53 | 1023489119 - CAMILLE EUNICE ABELARDO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 93923 | $162.91 | 1710977954 - ERIK WALKER | 593110868 - ORLANDO PHYSICIANS NETWORK INC | FL | Family Medicine Physician (207Q00000X) |
United | 93923 | $18.10 | 1861974073 - KEILER HEBERTO MORENO RIVERO, P.A., MORENO'S INTERNAL MEDICINE | 821991660 - (FL) KEILER HEBERTO MORENO RIVERO PA | FL | Internal Medicine Physician (207R00000X) |
United | 93923 | $156.09 | 1164776688 - NICOLE SCHWAB | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 93923 | $144.22 | 1215597554 - MATTEO RESPINO | 351747218 - INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC | IL | Psychiatry Physician (2084P0800X) |
United | 93923 | $138.91 | 1841277225 - ROBERT KASZUBA | 593717236 - (FL) POLMED PA | FL | Internal Medicine Physician (207R00000X) |
United | 93923 | $362.57 | 1417900168 - SUNILA OCONNOR | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93923 | $175.58 | 1740201425 - JOSEPH DIVINCENZO | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | WI | Psychiatry Physician (2084P0800X) |
United | 93923 | $202.41 | 1881958270 - DORIS HANSEN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Internal Medicine Physician (207R00000X) |
United | 93923 | $217.74 | 1356534994 - CEDRIC DAVIS | 581537752 - EMORY UNIVERSITY | FL | Family Medicine Physician (207Q00000X) |
United | 93923 | $19.88 | 1043261126 - MICHAEL VENAZIO | 921514966 - (FL) SEBASTIAN INTERNAL MEDICINE ASSOCIATES | FL | Internal Medicine Physician (207R00000X) |
United | 93923 | $190.36 | 1356352447 - MARLA HARTZEN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93923 | $123.98 | 1639495534 - ANA SOTO-QUINTELA | 650511644 - (FL) CARDIOVASCULAR MEDICINE ASSOCIATES, P.A. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93923 | $33.18 | 1700373669 - DIMITRI TSALICKIS | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 93923 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93923 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 93923 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 |
|---|---|---|
| 93888-CPT | Low | Transcranial Doppler Of Arteries; F/U Li |
| 93890-CPT | Moderate | Non-Invas.Study-Upper Extrem.Artery |
| 93892-CPT | Moderate | Transcranial Doppler Study Of The Intracranial Arteries; Emboli Detection Without Intravenous Microbubble Injection |
| 93923-CPT | Low | Complete Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries 3 Or More Levels (Eg For Lower Extermity; Ankle/Brachial Indices At Distal Posterior Tibial And Anterior Tibial/Dorsalis Pedis Arteries Plus Segmental Blood Pressure Measurement With Bidirectional Doppler Wavefore 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 Le |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93923. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93923 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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