2025 CPT code 93925
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Non-Invasive Vascular Diagnostic Studies Medicine Services and Procedures Feed
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study.
Modifiers may be appropriate depending on the circumstances.For example, modifier 59 may be used to indicate that a distinct procedural service was performed. Consult current coding guidelines for modifier application.
Medical necessity for 93925 is established when there is clinical suspicion of peripheral arterial disease (PAD), including symptoms such as intermittent claudication, rest pain, or non-healing wounds; or when assessing patency of a bypass graft. Preoperative assessment may also be indicated before certain vascular procedures.Documentation should support the need for the study based on the patient's presentation and clinical picture.
The physician or qualified healthcare professional is responsible for performing the ultrasound scan, interpreting the results, and documenting findings in the patient's record.
In simple words: This test uses ultrasound to create detailed pictures of the arteries in both legs. It checks blood flow to see if there are any blockages or problems.
This CPT code encompasses a comprehensive, bilateral duplex ultrasound scan of the lower extremity arteries, including arterial bypass grafts if present. The procedure involves the use of ultrasound technology to visualize the arteries and assess blood flow, identifying any potential blockages or abnormalities in both legs.It combines B-mode imaging, Doppler spectral analysis, and color flow Doppler imaging to provide a detailed assessment of vascular structure and hemodynamics.The study includes the calculation of ankle-brachial indices (ABI).
Example 1: A 65-year-old male presents with intermittent claudication in his right leg.A complete bilateral lower extremity arterial duplex scan (93925) is performed to assess for peripheral artery disease (PAD). The results reveal significant stenosis in the right superficial femoral artery., A 72-year-old female with a history of diabetes mellitus undergoes a complete bilateral lower extremity arterial duplex scan (93925) following a critical limb ischemia event. The scan reveals multiple areas of occlusion in both legs, requiring revascularization., A 50-year-old male presents for postoperative surveillance following a lower extremity bypass graft. A complete bilateral lower extremity arterial duplex scan (93925) is performed to assess patency of the bypass graft and assess for any complications such as stenosis or thrombosis.
* Detailed patient history including symptoms (e.g., claudication, rest pain), risk factors (e.g., smoking, diabetes, hypertension), and relevant medical history.* Comprehensive description of the scan, including the arteries studied, the presence of any stenoses, occlusions, or other abnormalities.* Measurement of ankle-brachial indices (ABI).* Doppler waveform analysis, including assessment of spectral waveforms.* Color flow Doppler imaging.* B-mode ultrasound images.* Report interpretation and conclusions.* Physician's signature and date.
** This code describes a complete bilateral study.For unilateral or limited studies, use code 93926.Always refer to the most up-to-date CPT coding guidelines and payer-specific policies for accurate billing.
- Revenue Code: I3F (ECHOGRAPHY - OTHER)
- RVU: Information not available in provided text.Consult current fee schedules for relative value units.
- Global Days: Information not available in provided text.Refer to payer-specific guidelines for global period.
- Payment Status: Active
- Modifier TC rule: Information not available in provided text.Consult current coding guidelines to determine technical component modifier applicability.
- Fee Schedule: Information not available in provided text. Consult historical fee schedules for relevant information.
- Specialties:Vascular Surgery, Cardiology, Radiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center