CPT 93976 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 • 23 - Emergency Room |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93976 |
National average reimbursement for CPT 93976 by major payers:
$187.48
$232.63
$235.38
$278.21
| 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 93976 | ||||||
United | 93976 | $67.44 | 1962431726 - MARTINS ADEOYE | 432081789 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93976 | $236.58 | 1639628464 - JOANNA CHROSTOWSKI | 223693606 - REGIONAL WOMEN'S HEALTH GROUP, LLC | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $59.43 | 1851768337 - KELLY RIDGES | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 93976 | $47.70 | 1760749378 - CRISTINA ARTILES | 146013200 - STATE OF NY UNIFIED COURT SYSTEM | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $118.83 | 1265753867 - ASIFA CHOUDHRY | 850703768 - (IL) CARLE WEST PHYSICIAN GROUP INC | IL | Psychiatry Physician (2084P0800X) |
United | 93976 | $331.54 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 93976 | $32.63 | 1659682664 - TERI FORNEY | 274174150 | TX | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $185.41 | 1982680427 - PAUL WEHRUM | 263428410 | OH | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $427.92 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 93976 | $247.19 | 1376529792 - DAWN ELLIOTT | 20456218 - FOUNDATION MEDICAL PARTNERS INC | ME | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $356.10 | 1336450899 - AMANDA BUSKEVICIUS | 470687317 - PHYSICIANS CLINIC INC | NE | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $112.05 | 1871888180 - ZOE KIEFER | 222768204 - HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC | MA | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $166.16 | 1174565451 - MINDY GOLDMAN | 943281660 | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $179.33 | 1447593587 - ERIKA KONKEL | 824111585 - OBHG WISCONSIN SC | WI | Obstetrics & Gynecology Physician (207V00000X) |
United | 93976 | $162.94 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
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 93976 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93976 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 93976 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 |
|---|---|---|
| 93930-CPT | Moderate | Duplex Scn Up Ext Art/Grft;Comp Bil |
| 93931-CPT | Low | Duplex Scan Up Extrem Art/Bypass Grft; F |
| 93975-CPT | Moderate | Duplex Scan Of Arterial Inflow And Venous Outflow Of Abdominal, Pelvic, Scrotal Contents And/Or Retroperitoneal Organs; Complete Study |
| 93976-CPT | Low | Duplex Scan Of Arterial Inflow And Venous Outflow Of Abdominal, Pelvic, Scrotal Contents And/Or Retroperitoneal Organs; Limited Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93976. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93976 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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