CPT 93925 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 | Moderate |
National average reimbursement for CPT 93925 by major payers:
$276.38
$341.30
$314.49
$409.94
| 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 93925 | ||||||
United | 93925 | $35.33 | 1033151857 - CHARLES DAY | 381459362 - WILLIAM BEAUMONT HOSPITAL | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93925 | $64.09 | 1124009063 - DEVRAJ NAYAK | 742019736 - (TX) WILSON COUNTY MEMORIAL HOSPITAL DISTRICT | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $384.79 | 1780095224 - ERICA FIDONE | 760423386 - REGIONAL EMPLOYEE ASSISTANCE PROGRA M | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93925 | $264.82 | 1164973012 - ROBERT MARRIOTT MEDICAL CORP | 680660970 - ROBERT MARRIOTT MEDICAL CORP | TX | Surgery Physician (208600000X) |
United | 93925 | $66.09 | 1609047976 - ANITHA YARLAGADDA | 273026151 - (TX) MID COAST MEDICAL CENTER-CENTRAL | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $259.26 | 1912982489 - IRFAN AGHA | 752896138 - MEDHEALTH | TX | Nephrology Physician (207RN0300X) |
United | 93925 | $463.44 | 1891140935 - JAMES JENKINS | 272713767 | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93925 | $99.02 | 1366823536 - FIONA STRASSERKING | 756002868 | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $60.40 | 1487646667 - GEORGE RODGERS | 264562522 - SETON FAMILY OF DOCTORS | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $379.04 | 1942644703 - ZOHAIR HASAN | 760459500 - U T PHYSICIANS | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93925 | $64.09 | 1528054749 - YASSER FARRA | 742861174 - (TX) NEW BRAUNFELS CARDIOVASCULAR ASSOCIATES, P.A. | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $239.52 | 1770875338 - CHARLES BULATHSINGHALA | 451834769 | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $27.69 | 1982675740 - PEDRO MEGO | 810824269 - (TX) SOUTH TEXAS VASCULAR AND HEART INSTITUTE PA | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $211.47 | 1821040866 - JUSTIN PHAM | 232696460 - (PA) HR PHYSICIAN SERVICES | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93925 | $275.10 | 1497920953 - SAJID SHAH | 320021737 - (MD) WASHINGTON CARDIOVASCULAR INSTITUTE, LLC | TX | Vascular Surgery Physician (2086S0129X) |
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 93925 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93925 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 93925 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 | Quantitative Carotid Intima Media Thickness And Carotid Atheroma Evaluation, Bilateral |
| 93922-CPT | 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 |
| 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 |
| 93925-CPT | Moderate | Duplex Scan Low Extrem Art/Bypass Grft; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93925. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93925 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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