2025 CPT code 93930
(Active) Effective Date: N/A Medicine - Non-Invasive Vascular Diagnostic Studies Feed
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
Modifiers are applicable. Modifier 26 is used for the professional component. Modifiers 51, 52, 59, 76, 77, 79, 80, 81, 82, and 99 are also applicable as per the documentation.
Medical necessity must be established by documenting the patient's symptoms, signs, or conditions that justify the need for the study. This may include symptoms of arterial insufficiency, suspected arterial injury, or follow-up of a known vascular condition.
The physician performs the procedure, including applying gel, manipulating the transducer, interpreting the results, and creating a report for the patient's record.
In simple words: This is a non-invasive ultrasound test to check the blood flow in the arteries of both arms. It helps doctors see if there are any blockages or other problems with blood circulation in your arms.
This code represents a complete bilateral duplex scan of the upper extremity arteries or arterial bypass grafts. It includes the examination of the subclavian, axillary, and brachial arteries in both extremities.It involves the use of ultrasound technology to visualize the arteries and assess blood flow patterns, integrating B-mode imaging, Doppler spectral analysis, and color flow Doppler imaging. The procedure includes the patient care, supervision, interpretation of results, and a report for the patient's record.
Example 1: A patient presents with symptoms of thoracic outlet syndrome. A complete bilateral duplex scan of the upper extremity arteries is performed to evaluate blood flow and identify any potential blockages., A patient with a history of dialysis requires evaluation of their upper extremity arterial bypass graft. Code 93930 is used for a comprehensive assessment of the graft's patency., Following trauma to both arms, a patient undergoes a complete bilateral duplex scan to assess for arterial injuries and compromised blood flow. Code 93930 is reported.
Documentation must include details of the examination, including which arteries were examined (subclavian, axillary, brachial) in both extremities.If a bypass graft is present, the documentation should include its evaluation. The report should contain images, spectral analysis, and color flow Doppler information, along with the physician's interpretation.
- Modifier TC rule: Modifier TC is not applicable to this code as it represents a complete procedure including both the technical and professional components.
- Specialties:Vascular surgery, cardiology, interventional radiology
- Place of Service:Office, Outpatient Hospital, Independent Clinic, and other applicable outpatient settings.