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 |
| Medicare Fee Schedule | View Medicare rates for 93925 |
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 | $39.29 | 1215068796 - ANDREW GOMES | 832412520 - (TX) NIRP WOODLANDS PLLC | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 93925 | $36.25 | 1912966938 - MICHEL STEPHAN | 751808533 - (TX) MICHEL K. STEPHAN, M.D., P.A. DBA TEXAS SURGERY ASSOCIATES | TX | Surgery Physician (208600000X) |
United | 93925 | $186.63 | 1235160904 - SAMUEL MAGNUS-LAWSON | 760106476 - BEN MAGNUS-LAWSON, M.D. | TX | Nephrology Physician (207RN0300X) |
United | 93925 | $436.30 | 1255659389 - NORMAN ARBELO CRUZ | 870565773 - MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS, P.C. | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93925 | $419.57 | 1699209106 - BRIAN CONWAY | 272996872 - (TX) CARDIOLOGY SPECIALISTS OF NORTH TEXAS PLLC | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $99.02 | 1366823536 - FIONA STRASSERKING | 756002868 | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $220.35 | 1265796130 - DANE GRUENEBAUM | 832515703 - (TX) NIRP WACO PLLC | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93925 | $75.00 | 1861493389 - BRENDA PEABODY | 760221050 | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $291.95 | 1982644621 - HOUSTON MEDICAL IMAGING | 760570331 - (TX) HOUSTON MEDICAL IMAGING, LLC | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93925 | $66.09 | 1609047976 - ANITHA YARLAGADDA | 273026151 - (TX) MID COAST MEDICAL CENTER-CENTRAL | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $366.35 | 1780690586 - LUBA FRANK | 300791563 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93925 | $34.04 | 1285067389 - POWELL AND FUSELIER MEDICAL, PLLC, TEXAS VEIN EXPERTS | 463237345 - (TX) POWELL AND FUSELIER MEDICAL PLLC | TX | Surgery Physician (208600000X) |
United | 93925 | $376.16 | 1578754206 - DONG HI YOON | 752536818 - HEALTHTEXAS PROVIDER NETWORK | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $64.09 | 1528054749 - YASSER FARRA | 742861174 - (TX) NEW BRAUNFELS CARDIOVASCULAR ASSOCIATES, P.A. | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 93925 | $220.35 | 1437342797 - PAUL LAJOS | 823963319 - (TX) NIRP CORPUS CHRISTI PLLC | TX | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
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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