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See a sample rate comparisonCPT 93926 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.
Ultrasound Arteries In Legs, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts. The Procedure Is Performed On Both Legs Or On A Section Or Single Leg.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $139.95 national non-facility rate (2026) · View Medicare rates for 93926 |
| Medicaid Fee Schedule | $115.475 median of the 8 states in the free preview · View Medicaid rates for 93926 |
National average reimbursement for CPT 93926 by major payers:
$168.11
$207.08
$181.80
$239.67
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CPT 93926
5 of 25 sample ratesHigher to lower in this preview
Jeremy Wong
Pediatric Faculty Foundation In
$416.04Published rateJanice Kowalski
Northshore University Healthsystem Faculty Practice Associates
$241.66Published rateEugene Schnitzler
$217.88Published rateAmirreza Fallahi
Riverside Health System
$192.74Published rateAndrew Kulik
Saint Anthony Health Affiliates
$21.51Published rate
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See a sample payer proposalCPT 93926 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93926 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 93926 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 | Assessment Of Artery Blockage, Ultrasound Of The Carotid Artery (Large Blood Vessel Located In The Neck) To Assess Blockage Associated With Atherosclerosis (Clogged Arteries) Or Coronary Heart Disease. |
| 93922-CPT | Low | Upr L Xtremity Art 2 Levels, Limited Bilateral Noninvasive Physiologic Studies Of Upper Or Lower Extremity Arteries Eg For Lower Extremity Ankle Brachial Indices At Distal 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 Dorsalis Pedis Arteries Plus Volume Plethysmography At 1 2 Levels Or Ankle Brachial Indices At Distal Posterior Tibial And Anterior Tibial Dorsalis Pedis Arteries With Transcutaneous Oxygen Tension Measurement At 1 2 Levels |
| 93925-CPT | Moderate | Ultrasound Arteries In Legs, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts. The Procedure Is Performed On Both Legs Or On A Section Or Single Leg. |
| 93926-CPT | Low | Ultrasound Arteries In Legs, Ultrasound To Determine If Blood Flow Is Adequate Through Arteries Or Bypass Grafts. The Procedure Is Performed On Both Legs Or On A Section Or Single Leg. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93926. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93926 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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