For San Antonio Medical Billing, staying ahead of reimbursement shifts is critical for practice health. In 2026, we are seeing a strategic increase in reimbursement rates for Arterial Brachial Index (ABI) studies, reflecting the rising costs of next-generation diagnostic machines. These automated tools provide superior bilateral pressure readings, essential for the early detection of Peripheral Artery Disease (PAD) in the high-risk Texas population.
The 2026 Medicare Physician Fee Schedule (MPFS) conversion factor has increased to approximately $33.40, a 3.26% rise from the 2025 rate of $32.35. For San Antonio providers, this shifts reimbursement for key codes:
CPT 93922 (Limited bilateral study): Increased from a 2025 national average of ~$48.00 to approximately $50.50 in 2026.
CPT 93923 (Complete bilateral study): Increased from a 2025 average of ~$110.00 to approximately $116.00 in 2026.
By upgrading to modern, high-precision diagnostic tools, Texas practices not only improve patient outcomes but also maximize their 2026 revenue cycle through these adjusted office-based rates. These machines streamline the measurement of systolic blood pressure at the extremities, ensuring more accurate data for complex vascular cases.
Expert Tip: Ensure your documentation explicitly compares bilateral pressures to justify the medical necessity of these updated 2026 rates.How has your practice adapted its billing workflow to accommodate these new diagnostic technology standards? Let San Antonio Medical Billing help guide you through these and other rate changes by giving them a call today – 210-294-5694.
