CPT 93923: 2026 Billing, Documentation, Medicare Coverage and Denial Prevention
CPT 93923 reports a complete, bilateral physiologic study of the upper or lower extremity arteries. The study must cover three or more levels, or include a qualifying provocative maneuver, to count as complete. It measures blood flow and pressure through function, not through imaging of the vessel itself, and a routine ABI alone doesn’t meet […]
CPT Code 93925: 2026 Billing, Documentation and Reimbursement Guide
The 93925 CPT code reports a complete bilateral duplex scan of the lower-extremity arteries or arterial bypass grafts. The study combines structural imaging with blood-flow analysis and covers both legs in the same session. CPT 93926 is the code you’ll see when the study only covers one leg or a limited portion of the vascular […]
CPT 93922: ABI Billing, Documentation and Reimbursement Guide
CPT 93922 reports a limited, bilateral, noninvasive physiologic study of the arteries in the arms or legs, usually performed at one or two testing levels. A lower-extremity study commonly pairs ankle-brachial index measurements with a second qualifying test, such as Doppler waveform recording, volume plethysmography, or transcutaneous oxygen measurement. The code is not interchangeable with […]
93971 CPT Code: 2026 Billing, Documentation, Modifiers and Denial Prevention
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. […]
93970 CPT Code: Complete Billing and Documentation Guide
CPT 93970 reports a complete bilateral duplex examination of the extremity veins, covering paired upper or lower extremities. The study combines structural imaging with blood-flow analysis, and compression or other documented maneuvers confirm the findings. Code selection has to match the examination performed and documented, not the exam that was originally ordered. Practices often search […]
99495 CPT Code: 2026 TCM Billing Rules, Documentation, and Denial Prevention
Your team saw the patient after a hospital discharge, documented the visit, and sent the claim. The denial came back anyway. Practices that treat the 99495 cpt code like a routine hospital follow-up see this denial repeat. The code pays for Transitional Care Management (TCM), a 30-day service that starts the day a patient leaves […]
