simpleABI Vascular Reimbursement Information
Vascular Reimbursement
CPT codes, income calculators, state-by-state coverage, and clinical criteria — everything your practice needs to bill vascular studies with confidence.
CPT Codes for Vascular Testing
Single Level
Limited bilateral non-invasive physiologic study of upper or lower extremity arteries.
Applies to standard ABI and ABI-Q exams.
Segmental & Exercise
Covers two distinct billing scenarios:
Complete bilateral study at 3 or more levels with ankle/brachial indices and segmental volume plethysmography — 3-cuff and 4-cuff segmental exams.
Single-level study with provocative functional maneuvers such as dorsiflexions, heel raises, or hall walking — Exercise ABI.
Treadmill Stress
Noninvasive physiologic studies with treadmill stress testing.
Applies exclusively to ABI Stress-Treadmill exams using a defined treadmill protocol with documented walking time, claudication onset, and recovery curve.
Calculate Your Income Potential
Use these tools to project reimbursement revenue, evaluate ROI, and maximize available tax benefits for your equipment purchase.
PAD Income Analysis
Enter your patient volume and see projected annual reimbursement for your practice.
ROI Calculator
Current CPT billing revenue table showing ROI for vascular testing by exam type.
Section 179 Tax Deduction
Maximize your tax benefits on equipment purchases under Section 179 of the IRS tax code.
2025 / 2026 Annual Documents
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State-by-State CPT Code Reimbursement
Current Medicare reimbursement rates by state for CPT 93922, 93923, 93924
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State-by-State Accreditation Requirements
Know which states require lab accreditation before billing vascular studies
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Current ICD-10 Code Information
Diagnosis codes commonly paired with CPT 93922–93924
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2026 Vascular Reimbursement Criteria
Latest update on coverage criteria and documentation requirements
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simpleABI Reimbursement Quick Guide
One-page billing reference for front desk and billing staff
Clinical Guidelines
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2024 ACC/AHA Guidelines for Lower Extremity PAD
Comprehensive May 2024 update on management of lower extremity peripheral artery disease
About Local Coverage
Non-invasive PAD testing does not have National Coverage Determinations. Individual Medicare carriers set local coverage requirements. Always verify with your MAC before billing.
Understanding the 2026 Reimbursement Criteria
Effective January 1, 2011, CMS revised the descriptions for CPT codes 93922–93924 to align with AHA/ACC clinical recommendations. These revisions added specific examples of testing methods within the CPT code language itself — citing the posterior tibial (PT) and dorsalis pedis (DP) arteries as measurement sites for ankle pressures.
It is important to understand that these citations use the Latin abbreviation e.g. — meaning "for example" — and are not absolute requirements. The CPT codes also cover upper extremity testing, where bilateral ankle pressures are neither required nor clinically appropriate. The AHA/ACC has confirmed and updated their clinical recommendations in 2016, 2019, and most recently in May 2024.
While ACC/AHA guidelines continue to recommend Doppler-based pressure measurement as the standard for ABI diagnosis, the CPT code language also supports alternative diagnostic methods — including PVR-based testing — where clinically justified.
Key distinction: AHA/ACC clinical recommendations and CMS reimbursement criteria are separate documents with separate purposes. Meeting one does not automatically satisfy the other. Confirm documentation requirements with your billing team and MAC.
Additional Resources
Questions About Billing or Coverage?
Our team can walk you through CPT code selection, documentation requirements, and income projections for your specific patient population.