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93971 CPT Code: 2026 Billing, Documentation, Modifiers and Denial Prevention

CPT code 93971 unilateral or limited venous duplex billing 2026 hero banner: complete unilateral or limited bilateral study versus 93970 complete bilateral, prohibited Modifier 50 for a limited bilateral exam, Modifier 26 for interpretation-only and TC for technical-only, LCD-required ICD-10 pairings for DVT and venous insufficiency, and same-day NCCI edits with 93970 and 76536, from One O Seven RCM.

The 93971 CPT code looks like one of the simpler entries in a vascular ultrasound fee schedule. Payment problems start when study scope, documented laterality, medical necessity, and the diagnosis code on the claim tell different stories. Confusion with the neighboring bilateral code is the biggest source of code-selection risk on extremity venous duplex claims. […]

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