CPT code 93923: Arterial physiology, three or more levels2026 Medicare rate & RVUs in Los Angeles, CA
Reports a complete bilateral, multilevel physiologic assessment of upper or lower extremity arterial circulation when three or more levels are evaluated.
In Los Angeles, CA, Medicare pays $154.41 for 93923 in the office.
Check a contract rate as a % of Medicare · 93923 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 93923 covers
This noninvasive study evaluates arterial perfusion in an upper or lower extremity at three or more levels. Depending on the clinical question, the vascular laboratory may combine segmental pressures, ankle-brachial indices, volume plethysmography, or continuous-wave Doppler waveform analysis. It is commonly ordered for suspected peripheral arterial disease, including claudication, rest pain, or a nonhealing lower-extremity wound. Vascular technologists typically acquire the measurements in an office vascular lab or outpatient facility; a qualified practitioner interprets the findings.
Choose the code based on the documented extent of the physiologic examination, not simply the number of limbs. The record should identify the extremity or extremities studied, the levels assessed, the measurements or waveforms obtained, and the interpretation. The study is priced as bilateral, so modifier 50 does not increase payment. It may be billed globally or split into modifier 26 for interpretation and modifier TC for equipment and staff. When multiple cardiovascular diagnostic procedures are reported, the multiple-procedure reduction applies to the technical component.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Los Angeles, CA compares for 93923
Across 109 of 109 payment localities, the office rate for 93923 runs from $115.80 in Arkansas to $185.05 in San Benito County, CA. Los Angeles, CA pays $154.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Los Angeles, CA · this page$154.41
- Bakersfield, CA · California$143.83−$10.58
- Chico, CA · California$143.59−$10.82
- El Centro, CA · California$143.60−$10.81
- Fresno, CA · California$143.59−$10.82
- Hanford, CA · California$143.59−$10.82
- Madera, CA · California$143.59−$10.82
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $143.59 | — |
| Modesto, CACalifornia | $143.59 | — |
| Napa, CACalifornia | $169.91 | — |
| Oxnard, CACalifornia | $153.98 | — |
| Redding, CACalifornia | $143.59 | — |
| Rest of CaliforniaCalifornia | $143.59 | — |
| Riverside, CACalifornia | $144.55 | — |
| Sacramento, CACalifornia | $151.63 | — |
| Salinas, CACalifornia | $151.09 | — |
| San Diego, CACalifornia | $155.38 | — |
| Marin County, CACalifornia | $180.89 | — |
| San Francisco, CACalifornia | $180.79 | — |
| San Benito County, CACalifornia | $185.05 | — |
| Santa Clara County, CACalifornia | $184.64 | — |
| San Luis Obispo, CACalifornia | $148.57 | — |
| Santa Cruz, CACalifornia | $157.44 | — |
| Santa Maria, CACalifornia | $151.86 | — |
| Santa Rosa, CACalifornia | $159.08 | — |
| Stockton, CACalifornia | $143.59 | — |
| Vallejo, CACalifornia | $169.76 | — |
| Visalia, CACalifornia | $143.59 | — |
| Yuba City, CACalifornia | $143.59 | — |
| Washington, DC areaDistrict of Columbia | $155.37 | — |
| Miami, FLFlorida | $142.95 | — |
| Chicago, ILIllinois | $138.18 | — |
| Manhattan, NYNew York | $155.08 | — |
| AlaskaAlaska | $147.14 | — |
| AlabamaAlabama | $117.81 | — |
| ArkansasArkansas | $115.80 | — |
| ArizonaArizona | $129.58 | — |
| ColoradoColorado | $140.54 | — |
| ConnecticutConnecticut | $143.45 | — |
| DelawareDelaware | $131.98 | — |
| Fort Lauderdale, FLFlorida | $137.54 | — |
| Rest of FloridaFlorida | $130.02 | — |
| Atlanta, GAGeorgia | $136.11 | — |
| Rest of GeorgiaGeorgia | $121.66 | — |
| Hawaii, Guam, HIHawaii | $148.22 | — |
| IowaIowa | $121.94 | — |
| IdahoIdaho | $122.75 | — |
| East St. Louis, ILIllinois | $127.38 | — |
| Rest of IllinoisIllinois | $125.21 | — |
| Suburban Chicago, ILIllinois | $139.16 | — |
| IndianaIndiana | $123.60 | — |
| KansasKansas | $120.99 | — |
| KentuckyKentucky | $120.48 | — |
| New Orleans, LALouisiana | $127.17 | — |
| Rest of LouisianaLouisiana | $120.15 | — |
| Metropolitan Boston, MAMassachusetts | $156.36 | — |
| Rest of MassachusettsMassachusetts | $139.37 | — |
| Baltimore area, MDMaryland | $143.01 | — |
| Rest of MarylandMaryland | $134.89 | — |
| Rest of MaineMaine | $123.20 | — |
| Southern Maine, MEMaine | $131.45 | — |
| Detroit, MIMichigan | $131.61 | — |
| Rest of MichiganMichigan | $123.91 | — |
| MinnesotaMinnesota | $134.85 | — |
| Metropolitan Kansas City, MOMissouri | $126.46 | — |
| Metropolitan St. Louis, MOMissouri | $128.05 | — |
| Rest of MissouriMissouri | $117.53 | — |
| MississippiMississippi | $116.71 | — |
| MontanaMontana | $133.60 | — |
| North CarolinaNorth Carolina | $124.75 | — |
| North DakotaNorth Dakota | $131.82 | — |
| NebraskaNebraska | $122.81 | — |
| New HampshireNew Hampshire | $137.98 | — |
| Northern New JerseyNew Jersey | $153.28 | — |
| Rest of New JerseyNew Jersey | $145.15 | — |
| New MexicoNew Mexico | $124.59 | — |
| NevadaNevada | $133.22 | — |
| NYC suburbs and Long Island, NYNew York | $159.03 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $145.91 | — |
| Queens, NYNew York | $156.97 | — |
| Rest of New YorkNew York | $126.92 | — |
| OhioOhio | $123.54 | — |
| OklahomaOklahoma | $120.53 | — |
| Portland, OROregon | $145.93 | — |
| Rest of OregonOregon | $132.25 | — |
| Metropolitan Philadelphia, PAPennsylvania | $139.20 | — |
| Rest of PennsylvaniaPennsylvania | $123.93 | — |
| Puerto RicoPuerto Rico | $134.83 | — |
| Rhode IslandRhode Island | $137.38 | — |
| South CarolinaSouth Carolina | $124.34 | — |
| South DakotaSouth Dakota | $131.61 | — |
| TennesseeTennessee | $121.66 | — |
| Austin, TXTexas | $140.01 | — |
| Beaumont, TXTexas | $122.96 | — |
| Brazoria, TXTexas | $132.02 | — |
| Dallas, TXTexas | $132.85 | — |
| Fort Worth, TXTexas | $131.73 | — |
| Galveston, TXTexas | $132.39 | — |
| Houston, TXTexas | $134.04 | — |
| Rest of TexasTexas | $127.40 | — |
| UtahUtah | $126.34 | — |
| VirginiaVirginia | $130.75 | — |
| Virgin Islands, VIUnited States Virgin Islands | $134.83 | — |
| VermontVermont | $130.96 | — |
| Rest of WashingtonWashington | $139.22 | — |
| King County, WAWashington | $160.10 | — |
| WisconsinWisconsin | $126.66 | — |
| West VirginiaWest Virginia | $119.72 | — |
| WyomingWyoming | $132.82 | — |
93923 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$115.80
$164.32
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $147.14 | 1 |
| AL | $117.81 | 1 |
| AR | $115.80 | 1 |
| AZ | $129.58 | 1 |
| CA | $143.59–$185.05 | 29 |
| CO | $140.54 | 1 |
| CT | $143.45 | 1 |
| DC | $155.37 | 1 |
| DE | $131.98 | 1 |
| FL | $130.02–$142.95 | 3 |
| GA | $121.66–$136.11 | 2 |
| GU | $148.22 | 1 |
| HI | $148.22 | 1 |
| IA | $121.94 | 1 |
| ID | $122.75 | 1 |
| IL | $125.21–$139.16 | 4 |
| IN | $123.60 | 1 |
| KS | $120.99 | 1 |
| KY | $120.48 | 1 |
| LA | $120.15–$127.17 | 2 |
| MA | $139.37–$156.36 | 2 |
| MD | $134.89–$155.37 | 3 |
| ME | $123.20–$131.45 | 2 |
| MI | $123.91–$131.61 | 2 |
| MN | $134.85 | 1 |
| MO | $117.53–$128.05 | 3 |
| MS | $116.71 | 1 |
| MT | $133.60 | 1 |
| NC | $124.75 | 1 |
| ND | $131.82 | 1 |
| NE | $122.81 | 1 |
| NH | $137.98 | 1 |
| NJ | $145.15–$153.28 | 2 |
| NM | $124.59 | 1 |
| NV | $133.22 | 1 |
| NY | $126.92–$159.03 | 5 |
| OH | $123.54 | 1 |
| OK | $120.53 | 1 |
| OR | $132.25–$145.93 | 2 |
| PA | $123.93–$139.20 | 2 |
| PR | $134.83 | 1 |
| RI | $137.38 | 1 |
| SC | $124.34 | 1 |
| SD | $131.61 | 1 |
| TN | $121.66 | 1 |
| TX | $122.96–$140.01 | 8 |
| UT | $126.34 | 1 |
| VA | $130.75–$155.37 | 2 |
| VI | $134.83 | 1 |
| VT | $130.96 | 1 |
| WA | $139.22–$160.10 | 2 |
| WI | $126.66 | 1 |
| WV | $119.72 | 1 |
| WY | $132.82 | 1 |
How the 93923 rate is calculated
Each of 93923’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93923
RVUs × geographic indexes × conversion factor
Work0.44
0.44 RVUs× 1.000 GPCI
Practice expense3.47
3.47 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
4.0000
Conversion factor
$33.4009
Medicare rate
$133.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Los Angeles, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,308
- Code
- 93923
- Physician work
- 0.44
- Practice expense
- 3.47
- Malpractice
- 0.09
GPCI2026.csv
13
- Locality
- Los Angeles, CA
- Physician work
- 1.041
- Practice expense
- 1.183
- Malpractice
- 0.664
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.041 | 0.4580 |
| Practice expense | 3.47 | × 1.183 | 4.1050 |
| Malpractice | 0.09 | × 0.664 | 0.0598 |
| Total RVUs | 4.6228 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Los Angeles, CA$154.41
Office: (0.44 × 1.041 + 3.47 × 1.183 + 0.09 × 0.664) × $33.4009 = $154.41
Payment rules and modifiers for 93923
The CMS indicators that decide how 93923 is paid alongside other services.
CMS payment indicators · 93923
Arterial physiology, three or more levels
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93923 without 26 · national office
$133.60
Arterial physiology, three or more levels
93923-26 · Professional component
$21.38
Pays only the interpretation and report.
How 93923 has changed in Los Angeles, CA
93923 · Office / nonfacility
$154.41
Effective 2026-10-01
The base rate is $7.69 higher than on 2025-10-01, moving from $146.72 to $154.41 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$146.72changed to$154.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.45 changed to 0.44
- Practice expense RVU 3.36 changed to 3.47
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.042 changed to 1.041
- Practice expense GPCI 1.194 changed to 1.183
- Malpractice GPCI 0.690 changed to 0.664
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$151.62changed to$146.72
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.37 changed to 3.36
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$149.14changed to$151.62
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$150.82changed to$149.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.31 changed to 3.37
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.045 changed to 1.042
- Practice expense GPCI 1.185 changed to 1.194
- Malpractice GPCI 0.724 changed to 0.690
January 1, 2023
RVU23A
$152.86changed to$150.82
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.30 changed to 3.31
- Malpractice RVU 0.09 changed to 0.08
- Work GPCI 1.048 changed to 1.045
- Practice expense GPCI 1.175 changed to 1.185
- Malpractice GPCI 0.757 changed to 0.724
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$155.65changed to$152.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.35 changed to 3.30
- Malpractice RVU 0.07 changed to 0.09
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$155.50changed to$155.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.22 changed to 3.35
- Work GPCI 1.047 changed to 1.048
- Practice expense GPCI 1.176 changed to 1.175
- Malpractice GPCI 0.725 changed to 0.757
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$157.00changed to$155.50
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.26 changed to 3.22
- Work GPCI 1.046 changed to 1.047
- Practice expense GPCI 1.177 changed to 1.176
- Malpractice GPCI 0.694 changed to 0.725
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$161.49changed to$157.00
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.37 changed to 3.26
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$160.73changed to$161.49
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.38 changed to 3.37
- Work GPCI 1.047 changed to 1.046
- Practice expense GPCI 1.169 changed to 1.177
- Malpractice GPCI 0.801 changed to 0.694
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$161.31changed to$160.73
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.42 changed to 3.38
- Practice expense GPCI 1.161 changed to 1.169
- Malpractice GPCI 0.908 changed to 0.801
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$161.24changed to$161.31
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.05 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$160.44changed to$161.24
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$159.64changed to$160.44
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.41 changed to 3.42
- Work GPCI 1.042 changed to 1.047
- Practice expense GPCI 1.158 changed to 1.161
- Malpractice GPCI 0.775 changed to 0.908
Held through RVU15B.
January 1, 2014
RVU14A
$166.15changed to$159.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.80 changed to 3.41
- Work GPCI 1.036 changed to 1.042
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.642 changed to 0.775
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$166.15
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $154.41 | Not available in this setting | RVU26D |
| 2026-07-01 | $154.41 | Not available in this setting | RVU26C |
| 2026-04-01 | $154.41 | Not available in this setting | RVU26B |
| 2026-01-01 | $154.41 | Not available in this setting | RVU26A |
| 2025-10-01 | $146.72 | Not available in this setting | RVU25D |
| 2025-07-01 | $146.72 | Not available in this setting | RVU25C |
| 2025-04-01 | $146.72 | Not available in this setting | RVU25B |
| 2025-01-01 | $146.72 | Not available in this setting | RVU25A |
| 2024-10-01 | $151.62 | Not available in this setting | RVU24D |
| 2024-07-01 | $151.62 | Not available in this setting | RVU24C |
| 2024-04-01 | $151.62 | Not available in this setting | RVU24B |
| 2024-03-09 | $151.62 | Not available in this setting | RVU24AR |
| 2024-01-01 | $149.14 | Not available in this setting | RVU24A |
| 2023-10-01 | $150.82 | Not available in this setting | RVU23D |
| 2023-07-01 | $150.82 | Not available in this setting | RVU23C |
| 2023-04-01 | $150.82 | Not available in this setting | RVU23B |
| 2023-01-01 | $150.82 | Not available in this setting | RVU23A |
| 2022-10-01 | $152.86 | Not available in this setting | RVU22D |
| 2022-07-01 | $152.86 | Not available in this setting | RVU22C |
| 2022-04-01 | $152.86 | Not available in this setting | RVU22B |
| 2022-01-01 | $152.86 | Not available in this setting | RVU22A |
| 2021-10-01 | $155.65 | Not available in this setting | RVU21D |
| 2021-07-01 | $155.65 | Not available in this setting | RVU21C |
| 2021-04-01 | $155.65 | Not available in this setting | RVU21B |
| 2021-01-01 | $155.65 | Not available in this setting | RVU21A |
| 2020-10-01 | $155.50 | Not available in this setting | RVU20D |
| 2020-07-01 | $155.50 | Not available in this setting | RVU20C |
| 2020-04-01 | $155.50 | Not available in this setting | RVU20B |
| 2020-01-01 | $155.50 | Not available in this setting | RVU20A |
| 2019-10-01 | $157.00 | Not available in this setting | RVU19D |
| 2019-07-01 | $157.00 | Not available in this setting | RVU19C |
| 2019-04-01 | $157.00 | Not available in this setting | RVU19B |
| 2019-01-01 | $157.00 | Not available in this setting | RVU19A |
| 2018-10-01 | $161.49 | Not available in this setting | RVU18D |
| 2018-07-01 | $161.49 | Not available in this setting | RVU18C |
| 2018-04-01 | $161.49 | Not available in this setting | RVU18B |
| 2018-01-01 | $161.49 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $160.73 | Not available in this setting | RVU17D |
| 2017-07-01 | $160.73 | Not available in this setting | RVU17C |
| 2017-04-01 | $160.73 | Not available in this setting | RVU17B |
| 2017-01-01 | $160.73 | Not available in this setting | RVU17A |
| 2016-10-01 | $161.31 | Not available in this setting | RVU16D |
| 2016-07-01 | $161.31 | Not available in this setting | RVU16C |
| 2016-04-01 | $161.31 | Not available in this setting | RVU16B |
| 2016-01-01 | $161.31 | Not available in this setting | RVU16A |
| 2015-10-01 | $161.24 | Not available in this setting | RVU15D |
| 2015-07-01 | $161.24 | Not available in this setting | RVU15C |
| 2015-04-01 | $160.44 | Not available in this setting | RVU15B |
| 2015-01-01 | $160.44 | Not available in this setting | RVU15A |
| 2014-10-01 | $159.64 | Not available in this setting | RVU14D |
| 2014-07-01 | $159.64 | Not available in this setting | RVU14C |
| 2014-04-01 | $159.64 | Not available in this setting | RVU14B |
| 2014-01-01 | $159.64 | Not available in this setting | RVU14A |
| 2013-10-01 | $166.15 | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Los Angeles, CA rate applies
Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Anaheim
- Long Beach
- Los Angeles
- Orange
- Acton
- Agoura Hills
- Agua Dulce
- Alhambra
93923 billing questions
How does this differ from 93922?
93923 is for a physiologic study evaluating three or more levels; 93922 is the lower-level study for one or two levels. The documented extent of testing determines the choice.
Should modifier 50 be added for testing both sides?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the interpretation or modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
Does the cardiovascular multiple-procedure reduction affect both portions?
The CMS multiple-procedure reduction applies to the technical component. It does not apply to the professional component.
When is 93924 a better fit?
Use 93924 for a lower-extremity arterial study that evaluates circulation with exercise. Use 93923 when the documented physiologic assessment covers three or more levels.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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