93926
No office rateLower extremity study
93926 is for a limited lower extremity arterial duplex. Use 93925 when the documented examination is complete and bilateral.
On this page
CMS RVU26D · Effective 2026-10-01
93925 Arterial duplex Medicare reimbursement rates in Virginia
A complete bilateral duplex examination of lower extremity arteries or arterial bypass grafts, reported to evaluate arterial flow and identify abnormalities. Compare 93925 office and facility rates across CMS payment localities in Virginia.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93925 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$232.87–$276.28
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular ultrasound
About 93925: Complete bilateral lower extremity arterial duplex
A complete bilateral duplex examination of lower extremity arteries or arterial bypass grafts, reported to evaluate arterial flow and identify abnormalities.
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.
CMS billing rules for 93925
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.78 · 11%
- Practice expense (office) RVU6.22 · 87%
- Malpractice RVU0.11 · 2%
619.1K
Medicare services in 2024 · #204 by national volume
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.
93925 compared with similar codes
Office rates for Virginia, from the same CMS release.
$81.43–$96.87
93922 reports physiologic arterial testing at two levels, not duplex imaging of arteries or bypass grafts.
$161.97–$192.54
93924 is an exercise-based physiologic vascular study. Choose 93925 when the service performed is a complete bilateral arterial duplex.
$180.46–$213.79
93970 is a complete bilateral venous duplex study. 93925 examines lower extremity arteries or arterial bypass grafts.
Compare 93925 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$276.28
Facility
Unavailable
Virginia →
Office / nonfacility
$232.87
Facility
Unavailable
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,31193924,,Lwr xtr vasc stdy bilat,A,,0.49,4.37,,4.37,NA,0.09,4.95,4.95,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,31293924,26,Lwr xtr vasc stdy bilat,A,,0.49,0.16,,0.16,,0.06,0.71,0.71,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,31393924,TC,Lwr xtr vasc stdy bilat,A,,0.00,4.21,,4.21,NA,0.03,4.24,4.24,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,31493925,,Lower extremity study,A,,0.78,6.22,,6.22,NA,0.11,7.11,7.11,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,7.50,7.50,0.12
12,31593925,26,Lower extremity study,A,,0.78,0.25,,0.25,,0.07,1.10,1.10,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,31693925,TC,Lower extremity study,A,,0.00,5.97,,5.97,NA,0.04,6.01,6.01,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,01,0,99,7.25,7.25,0.05
12,31793926,,Lower extremity study,A,,0.49,3.62,,3.62,NA,0.08,4.19,4.19,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.30,3.30,0.08