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See a sample rate comparisonCPT 93985 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.
Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Bilateral Study
| 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $249.17 national non-facility rate (2026) · View Medicare rates for 93985 |
| Medicaid Fee Schedule | $199.865 median of the 8 states in the free preview · View Medicaid rates for 93985 |
National average reimbursement for CPT 93985 by major payers:
$306.09
$343.42
$339.13
$414.98
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CPT 93985
5 of 25 sample ratesHigher to lower in this preview
Srishti Nangia
$775.95Published rateSonya Mohan
$458.32Published rateBarry Rabin
Edward Health Ventures
$353.95Published rateHaidar Kabbani
Trihealth G, LLC
$76.36Published rateJocelyn Lorenzo
$39.20Published rate
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See a sample payer proposalCPT 93985 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93985 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 93985 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 |
|---|---|---|
| 93985-CPT | Moderate | Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Bilateral Study |
| 93986-CPT | Low | Duplex Scan Of Arterial Inflow, Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access Complete Unilateral Study |
| 93990-CPT | Low | Duplx Scan Of Hemodialy Access (Inclu Arterial Inflow Body Of, Duplex Scan Of Hemodialysis Access (Including Arterial Inflow Body Of |
| 93998-CPT | Low | Unlisted Noninvasi Vasculr Diagnos Study, Unlisted Noninvasive Vascular Diagnostic Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93985. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93985 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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