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See a sample rate comparisonCPT 93990 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.
Duplx Scan Of Hemodialy Access (Inclu Arterial Inflow Body Of, Duplex Scan Of Hemodialysis Access (Including Arterial Inflow Body Of
| 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 LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $144.29 national non-facility rate (2026) · View Medicare rates for 93990 |
| Medicaid Fee Schedule | $119.145 median of the 8 states in the free preview · View Medicaid rates for 93990 |
National average reimbursement for CPT 93990 by major payers:
$176.11
$213.65
$177.31
$248.72
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CPT 93990
5 of 25 sample ratesHigher to lower in this preview
Alba Pergjika
$459.05Published rateSuraya Kawadry
Loyola University Medical Center
$250.85Published rateGeoffrey Levin
Advocate Health And Hospitals Corporation
$225.08Published rateMark Sinibaldi
Northwestern Memorial Healthcare
$195.52Published rateJohn Beck
Carle Health Care Incorporated
$12.07Published rate
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See a sample payer proposalCPT 93990 vs. Other Non-Invasive Vascular Diagnostic Studies Codes
The CPT 93990 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 93990 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 93990. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93990 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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