CPT code 93925: Arterial duplex, complete bilateral study2026 Medicare rate & RVUs in Missouri
A complete bilateral duplex examination of lower extremity arteries or arterial bypass grafts, reported to evaluate arterial flow and identify abnormalities.
Medicare pays $208.71–$227.52 for 93925 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 93925 covers
This noninvasive ultrasound examines arteries in both legs, including arterial bypass grafts when assessed. Duplex imaging combines vessel images with Doppler information about blood flow, helping evaluate findings such as narrowing, blockage, or graft-flow concerns. Vascular sonographers commonly perform the acquisition in a vascular laboratory, hospital outpatient department, or imaging practice; a qualified physician interprets the study and documents the findings.
Report 93925 for a complete bilateral arterial duplex, rather than a limited study. Documentation should identify the bilateral examination, the arteries or grafts assessed, and the interpreted findings. The code is priced as bilateral, so modifier 50 does not increase payment. The global service is billed without a component modifier; modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. The cardiovascular diagnostic 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.
Where 93925 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$208.71 to $227.52
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $224.72 | Unavailable |
| Metropolitan St. Louis, MO | $227.52 | Unavailable |
| Rest of Missouri | $208.71 | Unavailable |
How the 93925 rate is calculated
Each of 93925’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 · 93925
RVUs × geographic indexes × conversion factor
Work0.78
0.78 RVUs× 1.000 GPCI
Practice expense6.22
6.22 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
7.1100
Conversion factor
$33.4009
Medicare rate
$237.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93925
The CMS indicators that decide how 93925 is paid alongside other services.
CMS payment indicators · 93925
Arterial duplex, complete bilateral study
| 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
93925 without 26 · national office
$237.48
Arterial duplex, complete bilateral study
93925-26 · Professional component
$36.74
Pays only the interpretation and report.
93925 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93926Arterial duplexUnilateral or limited
- 93926 is for a limited lower extremity arterial duplex. Use 93925 when the documented examination is complete and bilateral.
- 93922Arterial studyOne or two levels
- 93922 reports physiologic arterial testing at two levels, not duplex imaging of arteries or bypass grafts.
- 93924Exercise arterial studyBilateral, rest and treadmill
- 93924 is an exercise-based physiologic vascular study. Choose 93925 when the service performed is a complete bilateral arterial duplex.
- 93970Venous duplex scanComplete bilateral extremity study
- 93970 is a complete bilateral venous duplex study. 93925 examines lower extremity arteries or arterial bypass grafts.
93925 billing questions
When should 93925 be chosen over 93926?
Use 93925 for a complete bilateral lower extremity arterial duplex. Code 93926 describes a limited study, so the documented extent of the examination determines the choice.
Should modifier 50 be added for both legs?
No. 93925 is already priced as a bilateral service, and modifier 50 does not increase payment.
How are the professional and technical services billed?
Bill without a component modifier when reporting the global service. Use modifier 26 for the professional interpretation or modifier TC for the technical service when those components are billed separately.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of 93925.
What documentation supports a complete bilateral study?
Document that the examination covers both lower extremities, identify the arteries or bypass grafts assessed, and retain the study findings and physician interpretation.
Is 93925 a physiologic pressure study?
No. It reports duplex imaging of lower extremity arteries or arterial bypass grafts. Codes such as 93922 and 93923 describe physiologic arterial testing at specified 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
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