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Comprehensive 15-22 Minute Testing Protocol
Protocol Duration: 15-22 minutes
Test Components: HRV Biofeedback + Vascular Assessment + Autonomic Function Testing
CA Reimbursement: $475-$550*
CPT Code Breakdown:
• 90875 - Psychophysiological therapy with biofeedback, 30 min ($120-$145)
• 93922 - Non-invasive extremity arterial studies, bilateral ($150-$180)
• 93923 - Complete bilateral noninvasive physiologic studies ($120-$140)
• 93050 - Arterial pressure waveform analysis ($85-$95)
Total Estimated Reimbursement: $475-$560 in California
Test Protocol Timeline:
0-7 Minutes: HRV + Respiration + GSR Biofeedback
7-12 Minutes: Bilateral ABI + TBI + Waveform Analysis
12-22 Minutes: Extended HRV Training + Autonomic Function Assessment
Medical Necessity Examples:
• Type 2 Diabetes with Peripheral Neuropathy (E11.42)
• Peripheral Vascular Disease (I73.9)
• Generalized Anxiety Disorder (F41.1)
• Autonomic Nervous System Disorder (G90.9)
*Reimbursement rates vary by payer and geographic location. California rates shown are typical ranges based on Medicare and major commercial payers.
