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CPT 93925: Bilateral Lower-Extremity Duplex Ultrasound
CPT code 93925 represents a bilateral duplex ultrasound examination of the lower extremity arteries or bypass grafts. This noninvasive vascular imaging procedure combines grayscale imaging and Doppler flow assessment to evaluate blood flow patterns and identify arterial stenosis, occlusion, or graft dysfunction. Nationally, this code is relevant for vascular specialists, radiology and vascular laboratory services, and facilities managing peripheral arterial disease and post-operative graft surveillance.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and typical sites of service, payer coverage patterns and common modifier usage, and operational benchmarks relevant to billing and documentation for noninvasive arterial studies. The publication also summarizes coding nuances, common billing pitfalls, and where to seek appropriate documentation to support medical necessity.
The content is intended for national audiences involved in clinical operations, revenue cycle management, and payer contracting. It provides context on clinical utility, expected service settings, and the administrative elements that influence accurate claim submission for CPT code 93925. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 93925 describes a duplex ultrasound scan of the lower extremity arteries or bypass grafts performed bilaterally. The procedure is a noninvasive arterial diagnostic study that combines real-time B-mode imaging with Doppler flow assessment to evaluate blood flow velocity and detect stenosis or occlusion in the lower extremity arterial system or in surgically created bypass grafts.
Service Type: Noninvasive vascular diagnostic imaging
Typical Site of Service: Hospital outpatient departments, vascular laboratories, and outpatient imaging centers