CPT 93922: Noninvasive Arterial Physiologic Studies of Extremities
Medicare pays $58 and commercial payers pay $157 on average nationally for this procedure.
CPT code 93922 describes noninvasive arterial physiologic studies performed to evaluate blood flow and detect arterial blockage in the upper or lower extremities, using tests such as plethysmography, Doppler waveform analysis, and oxygen tension measurements; the service is a noninvasive vascular diagnostic procedure typically performed in an outpatient vascular lab, hospital outpatient department, or clinic to assess peripheral arterial disease and hemodynamic status of the extremities.
For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.
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National Reimbursement Benchmarks
Medicare’s mean rate for CPT 93922 sits at $57.8, substantially below BUCA’s average commercial mean of $157.3 — a difference of $99.5, reflecting a sizable gap between public and average commercial reimbursement. This gap highlights the divergence between Medicare’s baseline and commercial contractual levels, with BUCA closer to many commercial payers’ means and medians.
Dispersion measured by the interquartile range (P75 minus P25) is widest for Blue Cross Blue Shield at $95.1 (P75 $241.9 minus P25 $146.8) and also relatively wide for Aetna at $77.5 and UnitedHealth Group at $103.0. The tightest spread appears for Cigna at $109.5? Wait — recalculating shows Cigna’s P75 $136.0 minus P25 $26.0 equals $110.0, which is larger; therefore the smallest IQR among listed payers is Aetna at $77.5, indicating more concentrated commercial rates versus others.