CPT 93970 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 | Non-Invasive Extremity Venous Studies (Including Digits) Non-Invasive Vascular Diagnostic Studies |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93970 |
National average reimbursement for CPT 93970 by major payers:

$233.70

$269.30

$264.61

$312.97
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93970 | $41.13 | 1730108648 - MOUHANNAD DALAO | 263540855 - (FL) CARDIOLOGY CONSULTANTS OF NAPL | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93970 | $354.64 | 1124106554 - CATHERINE PEREZ | 310667480 - (OH) PROFESSIONAL RADIOLOGY, INC. | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 93970 | $54.70 | 1164420998 - DAVID WOLINSKY | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93970 | $155.44 | 1912315045 - NORTH TEXAS HEART AND VASCULAR PLLC | 465678058 - (TX) NORTH TEXAS HEART AND VASCULAR PLLC | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93970 | $305.17 | 1518021054 - CHUNMING DONG | 592579938 - (FL) UNIVERSITY OF MIAMI | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93970 | $149.13 | 1174559389 - SHASHI S BELLUR MD PA, THE HEART & VASCULAR SPECIALISTS | 760497726 - (TX) SHASHI S BELLUR MD PA | TX | Interventional Cardiology Physician (207RI0011X) |
United | 93970 | $66.04 | 1295751394 - BRIAN SKILLICORN | 310667480 - (OH) PROFESSIONAL RADIOLOGY, INC. | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 93970 | $89.33 | 1013998111 - ROBERT EMERY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 93970 | $25.47 | 1922493139 - JOSEPH CHAN | 465733674 - (CA) CARDIOINTERVENTIONAL SPECIALISTS | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93970 | $310.35 | 1174580492 - ELEFTHERIOS MAMOUNAS | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Surgical Oncology Physician (2086X0206X) |
United | 93970 | $71.69 | 1184043903 - JENNIFER LOGAN | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Radiation Oncology Physician (2085R0001X) |
United | 93970 | $36.47 | 1659671774 - HEART OF THE VILLAGES PLC | 272457144 - (FL) HEART OF THE VILLAGES PLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93970 | $43.26 | 1619072899 - BRADD BURKHART | 591486941 - ORLANDO ORTHOPAEDIC CENTER M.D. P.A. | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 93970 | $150.64 | 1720500317 - PASADENA VASCULAR DIRECT, LLC | 815163820 - (TX) PASADENA VASCULAR DIRECT LLC | TX | Vascular Surgery Physician (2086S0129X) |
United | 93970 | $42.38 | 1518962745 - RICHARD OZMUN | 752167598 - (TX) MAGNETIC IMAGING OF PARIS, LTD. | TX | Diagnostic Radiology Physician (2085R0202X) |
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 93970 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93970 code is part of the Non-Invasive Extremity Venous Studies (Including Digits) 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 93970 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 |
|---|---|---|
| 93970-CPT | Moderate | Duplex Scan Of Extremity Veins, Duplex Scan Of Extremity Veins Including Responsestocompression And Other Maneuvers Complete Bilat Eral Study |
| 93971-CPT | Low | Ultrasound Of Arm Or Leg Vein, Ultrasound To Determine If Blood Flow Is Adequate And To Identify Blockages In The Veins Of One Leg Or Arm Or Sections Of Both Legs Or Arms. |
| 93975-CPT | Moderate | Ultrasound Abdominal Vessels, An Ultrasound (Sound Wave Pictures) To Find Out If Blood Flows Well Through The Arteries Or Veins In The Abdomen (And Their Branches Into The Pelvis). The Test May Identify Blocked Sections. |
| 93978-CPT | Moderate | Ultrasound Abdominal Vessels, An Ultrasound (Sound Wave Pictures) To Find Out If Blood Flows Well Through The Arteries Or Veins In The Abdomen (And Their Branches Into The Pelvis). The Test May Identify Blocked Sections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93970. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93970 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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