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TRICARE Policy Manual 6010.63-M, April 2021
Medicine
Chapter 7
Section 12.1
Non-Invasive Vascular Diagnostic Studies
Issue Date:  April 25, 1988
Authority:  32 CFR 199.4(b) and (c)
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
1.0  CPT CODE RANGE
93875 - 93990
2.0  POLICY
Cerebrovascular Arterial Studies, Extremity Arterial Studies (including digits), Extremity Venous Studies (including digits), Visceral and Penile Vascular Studies, and Extremity Arterial-Venous Studies are covered.
3.0  EXCLUSION
In conjunction with podiatry service.
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