CPT 93923: Noninvasive Arterial Evaluation for Extremities

Medicare pays $93 and commercial payers pay $223 on average nationally for this procedure.

CPT code 93923 describes noninvasive arterial diagnostic procedures used to evaluate blood flow and detect arterial blockages in the upper and/or lower extremities, commonly performed as plethysmography, segmental blood pressure measurements, and Doppler waveform analysis; service type: vascular diagnostic testing; typical site of service: outpatient vascular laboratory, hospital outpatient department, or ambulatory diagnostic center.

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National Reimbursement Benchmarks

Nationally, Medicare averages $92.8 for CPT 93923 while BUCA’s commercial mean is $222.7, indicating BUCA pays roughly $130 more on average than Medicare for this service. Blue Cross Blue Shield sits near the high end of commercial means at $289.8, with Cigna and UnitedHealth Group closer to BUCA’s average, and Aetna a step below those peers.

Dispersion measured by the interquartile range (P75−P25) is widest for Blue Cross Blue Shield at $125 (from $220.1 to $326.5) and much narrower for Aetna at $118.9 (from $36.9 to $155.6) and Cigna at $144.1 (from $47.2 to $209.3). UnitedHealth Group’s IQR is $152.1 (from $53.9 to $206.8), while BUCA’s IQR is $123.3 (from $145.5 to $268.3); Medicare’s IQR is $111 (from $22 to $133).

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CPT 93923: Noninvasive Arterial Evaluation for Extremities

Medicare pays $93 and commercial payers pay $223 on average nationally for this procedure.

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Get alerted when payer policies referencing 93923 are released or updated.

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National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with long-standing type 2 diabetes (E11.59) and progressive exertional leg pain presents to a vascular laboratory for noninvasive arterial testing. The clinician documents claudication of the right calf and a non-healing right thigh ulcer (L97.115). The vascular lab encounter includes review of history and vascular risk factors, focused vascular physical exam (pulses, bruits, skin integrity), and performance of noninvasive arterial diagnostic studies such as segmental blood pressures, plethysmography, and Doppler waveform analysis to evaluate arterial inflow and identify levels of stenosis or occlusion.

The typical clinical workflow: referral from primary care, endocrinology, or podiatry; scheduling in an accredited vascular lab; pre-procedure check for contraindications and laterality; performance of tests by a vascular technologist or sonographer; interpretation by a vascular surgeon, cardiologist, or diagnostic radiologist; and documentation of findings with correlation to the patients symptoms and wound status to guide revascularization planning or conservative management. Common payors for authorization and claims include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93922`	Segmental pressure studies of upper extremity arteries or lower extremity arteries (as appropriate), 2 or more levels	Often performed with or as an adjunct to `93923` when segmental pressure gradients are needed to localize arterial obstruction.
`93924`	Lower extremity arterial evaluation, single level	Used for focused single-level pressure assessments when a limited evaluation suffices instead of multi-level testing.
`93925`	Lower extremity arterial duplex scan (single or bilateral study)	Duplex imaging provides anatomic and hemodynamic information complementary to Doppler waveform analysis performed under `93923`.
`93926`	Lower extremity arterial duplex scan, limited or unilateral	Performed when a targeted duplex study is required for a single limb or limited segment.
`93930`	Upper extremity arterial duplex scan (single or bilateral study)	Equivalent duplex study for the upper extremities when symptoms or ischemia involve the arms.
`93931`	Upper extremity arterial duplex scan, limited or unilateral	Limited upper extremity duplex for focused diagnostic questions.
`93970`	Upper and lower extremity venous duplex scan (single or bilateral study)	Performed when venous pathology is also suspected; may be ordered in the same vascular lab visit.
`93971`	Upper and lower extremity venous duplex scan, limited or unilateral	Limited venous duplex when only one extremity or a single region requires evaluation.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illne…
2080P0202X	Pediatric Cardiology Physician	A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and…
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
207RC0001X	Clinical Cardiac Electrophysiology Physician	A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical proc…
156FX1101X	Ophthalmic Assistant	An ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic ey…
363LW0102X	Women's Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
102L00000X	Psychoanalyst	Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic rela…

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 93922: Noninvasive Arterial Physiologic Studies of Extremities

CPT-93924-LEG-ARTERIAL-EXERCISE-BLOOD-FLOW-ASSESSMENT

CPT 93924: Leg Arterial Flow Assessment with Plethysmography and Exercise

CPT-93925-BILATERAL-LOWER-EXTREMITY-DUPLEX-ULTRASOUND

CPT 93925: Bilateral Lower Extremity Arterial Duplex Scan

CPT-93926-LOWER-EXTREMITY-DUPLEX-ARTERIAL-ULTRASOUND-ONE-SIDE

CPT 93926: Lower Extremity Arterial Duplex, Unilateral

CPT-93930-UPPER-EXTREMITY-DUPLEX-ULTRASOUND-BILATERAL

CPT 93930: Duplex Ultrasound, Bilateral Upper Extremity Arteries

CPT-93931-UPPER-EXTREMITY-ARTERIAL-DUPLEX-UNILATERAL

CPT 93931: Upper Extremity Arterial Duplex Scan, Unilateral

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93922`	Segmental pressure studies of upper extremity arteries or lower extremity arteries (as appropriate), 2 or more levels	Often performed with or as an adjunct to `93923` when segmental pressure gradients are needed to localize arterial obstruction.
`93924`	Lower extremity arterial evaluation, single level	Used for focused single-level pressure assessments when a limited evaluation suffices instead of multi-level testing.
`93925`	Lower extremity arterial duplex scan (single or bilateral study)	Duplex imaging provides anatomic and hemodynamic information complementary to Doppler waveform analysis performed under `93923`.
`93926`	Lower extremity arterial duplex scan, limited or unilateral	Performed when a targeted duplex study is required for a single limb or limited segment.
`93930`	Upper extremity arterial duplex scan (single or bilateral study)	Equivalent duplex study for the upper extremities when symptoms or ischemia involve the arms.
`93931`	Upper extremity arterial duplex scan, limited or unilateral	Limited upper extremity duplex for focused diagnostic questions.
`93970`	Upper and lower extremity venous duplex scan (single or bilateral study)	Performed when venous pathology is also suspected; may be ordered in the same vascular lab visit.
`93971`	Upper and lower extremity venous duplex scan, limited or unilateral	Limited venous duplex when only one extremity or a single region requires evaluation.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illne…
2080P0202X	Pediatric Cardiology Physician	A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and…
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
207RC0001X	Clinical Cardiac Electrophysiology Physician	A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical proc…
156FX1101X	Ophthalmic Assistant	An ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic ey…
363LW0102X	Women's Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
102L00000X	Psychoanalyst	Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic rela…

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 93922: Noninvasive Arterial Physiologic Studies of Extremities

CPT-93924-LEG-ARTERIAL-EXERCISE-BLOOD-FLOW-ASSESSMENT

CPT 93924: Leg Arterial Flow Assessment with Plethysmography and Exercise

CPT-93925-BILATERAL-LOWER-EXTREMITY-DUPLEX-ULTRASOUND

CPT 93925: Bilateral Lower Extremity Arterial Duplex Scan

CPT-93926-LOWER-EXTREMITY-DUPLEX-ARTERIAL-ULTRASOUND-ONE-SIDE

CPT 93926: Lower Extremity Arterial Duplex, Unilateral

CPT-93930-UPPER-EXTREMITY-DUPLEX-ULTRASOUND-BILATERAL

CPT 93930: Duplex Ultrasound, Bilateral Upper Extremity Arteries

CPT-93931-UPPER-EXTREMITY-ARTERIAL-DUPLEX-UNILATERAL

CPT 93931: Upper Extremity Arterial Duplex Scan, Unilateral

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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CPT 93923: Noninvasive Arterial Evaluation for Extremities

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National Reimbursement Benchmarks

OpenPayer

CPT 93923: Noninvasive Arterial Evaluation for Extremities

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National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

CPT 93923: Noninvasive Arterial Evaluation for Extremities

Sign up for cpt 93923 policy alerts

National Reimbursement Benchmarks

CPT 93923: Noninvasive Arterial Evaluation for Extremities

Sign up for cpt 93923 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What are the typical reimbursement rates for CPT 93923 across payers?

Which modifiers are commonly used with CPT 93923 and when are they applied?

What clinical scenarios and workflows commonly lead to ordering CPT 93923?

How does CPT 93923 relate to other vascular procedure codes listed on the page?

Which specialties typically interpret or order CPT 93923 and which payers are commonly involved?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What are the typical reimbursement rates for CPT 93923 across payers?

Which modifiers are commonly used with CPT 93923 and when are they applied?

What clinical scenarios and workflows commonly lead to ordering CPT 93923?

How does CPT 93923 relate to other vascular procedure codes listed on the page?

Which specialties typically interpret or order CPT 93923 and which payers are commonly involved?

References