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2025 CPT code 93926

Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study.

Refer to CPT guidelines for proper coding and documentation of vascular studies.

Modifiers such as 26 (Professional Component), 52 (Reduced Services), and others may be applicable depending on the specific circumstances of the service provided.

Medical necessity for this test is established by the presence of signs or symptoms suggestive of lower extremity arterial disease, or for monitoring the patency of a bypass graft.

The physician applies gel to the patient's leg and uses a transducer to generate images and assess blood flow. The test typically takes about 30 minutes.

IMPORTANT:(Do not report 93926 in conjunction with 93986 for the same extremity)

In simple words: This is a non-invasive test that uses sound waves to create images of the arteries in one leg to check blood flow and look for blockages.

This code represents a duplex scan of the lower extremity arteries or arterial bypass grafts, performed on one leg or a limited area. It involves the use of ultrasound to visualize the blood vessels and assess blood flow.

Example 1: A patient presents with symptoms of peripheral artery disease in one leg, such as pain or cramping while walking. This test can help determine the location and extent of any arterial blockages., Following a lower extremity bypass graft surgery, this test can be used to monitor the patency of the graft and ensure adequate blood flow., A patient with a known history of atherosclerosis in one leg may undergo this test to assess disease progression and guide treatment decisions.

Documentation should include details about the patient's symptoms, relevant medical history, the area of the leg examined, and the findings of the duplex scan, including any areas of stenosis or occlusion.

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