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CPT 93926: Duplex Ultrasound, Lower Extremity Artery or Bypass (One Side)
CPT code 93926 denotes a duplex ultrasound of the lower extremity arteries or bypass grafts performed on one side. This noninvasive vascular imaging procedure evaluates arterial blood flow and identifies blockages or stenosis, supporting diagnosis and management of peripheral arterial disease and monitoring of graft patency. Nationally, the code is important for vascular labs, hospital outpatient services, and ambulatory imaging centers because it guides clinical decision-making without exposing patients to ionizing radiation or contrast agents.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context, common service locations, and payer scope. The publication summarizes typical usage and documentation considerations, provides benchmark-oriented coverage notes for the listed payers, and highlights where policy updates or coding guidance may affect billing and reimbursement. The content is intended to help administrators and billing staff understand the clinical role of 93926, expected sites of service, and the payers commonly involved in coverage and payment decisions. Data not available in the input for associated taxonomies, specific ICD-10 pairings, or related CPT codes is noted as missing in the respective sections.
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Billing Code Overview
CPT code 93926 describes a duplex ultrasound scan of lower extremity arteries or bypass grafts performed on one side. The procedure is a noninvasive arterial diagnostic test that combines real-time ultrasound imaging with Doppler flow assessment to evaluate blood flow velocity and detect arterial obstruction or stenosis in a single lower extremity or its bypass graft.
Service Type: Noninvasive vascular diagnostic imaging
Typical Site of Service: Vascular laboratory, hospital outpatient imaging center, or ambulatory surgical/diagnostic center