For Physicians
For Physicians.
A streamlined referral pathway for your patients who need cardiac and vascular imaging — without the wait, the referral friction, or the insurance complexity.
A streamlined referral pathway for your patients who need cardiac and vascular imaging — without the wait, the referral friction, or the insurance complexity.
A signed order form is optional, not required. If you want a documented referral, download the form below. If you'd rather skip the paperwork, simply tell your patient to call or book online — no referral number, no prior authorization.
Download the form below, fill it out per patient with CPT code(s), ICD-10 indication, and your NPI. No prior authorization needed. No insurance pre-approval. If you prefer to skip the form entirely, simply tell your patient to call or book online — we handle the rest.
Your patient books directly at blackpointdiagnostics.com/booking or by calling (207) 409-7797. The completed referral form can be brought to the appointment or emailed to emanuel@blackpointdiagnostics.com (via our HIPAA-compliant email service). We travel to the patient's home, workplace, or a partner location — no hospital visit required.
All images are reviewed and reported by Dr. Gandelman, board-certified cardiologist at Greenwich Cardiology. Written reports are emailed to the patient within 24–48 hours. A copy is sent directly to your practice upon request — simply indicate this on the referral form or ask the patient to mention your name when booking.
Urgent referral? Call us directly at (207) 409-7797. Same-day appointments are often available.
Download directly — no registration required.
Two pages. Sign page one and hand it to your patient — they schedule directly with us, or you can photograph and email it. Page two explains what each study evaluates and its common indications, and can be given to the patient.
All six studies with CPT codes, modifier guidance, and the most common ICD-10 indications for each. Includes package contents and patient pricing. Designed to sit at your desk.
Need bulk copies or a different format? Email emanuel@blackpointdiagnostics.com
All studies are complete/bilateral unless otherwise noted. TC modifier applies — technical component only.
| Study | CPT | Mod | Fee | Common ICD-10 Indications |
|---|---|---|---|---|
| Echocardiogram with Doppler Complete study |
93306 | TC | $397 | I50.9 Heart failure I25.10 CAD I35.0 Aortic stenosis I34.0 Mitral regurgitation I42.9 Cardiomyopathy R07.9 Chest pain R00.0 Tachycardia Z82.49 Family Hx cardiac |
| Carotid Duplex Ultrasound Bilateral |
93880 | TC | $397 | I65.21 Rt carotid stenosis I65.22 Lt carotid stenosis G45.9 TIA I63.9 CVA I10 HTN E78.5 Hyperlipidemia Z82.3 Fam Hx stroke |
| AAA Screening Ultrasound Abdominal aorta |
76706 | — | $397 | I71.4 AAA w/o rupture I70.0 Aortic atherosclerosis I10 HTN Z87.891 Tobacco Hx Z84.89 Fam Hx AAA Z13.6 CV screening |
| Lower Extremity Venous Duplex Bilateral complete |
93970 | TC | $397 | I82.401 DVT Rt leg I82.402 DVT Lt leg I87.2 Venous insufficiency I83.90 Varicose veins R60.0 Edema Z86.718 Hx DVT Z79.01 Anticoagulant use |
| Lower Extremity Arterial Duplex Bilateral complete |
93925 | TC | $397 | I73.9 PAD I70.209 Atherosclerosis E11.51 DM2 w/ angiopathy R20.2 Leg paresthesia I70.25 Atherosclerosis w/ ulcer R60.0 Edema |
| Renal Arterial Duplex Bilateral complete |
93975 | TC | $397 | I15.0 Renovascular HTN I12.9 Hypertensive CKD N18.9 CKD unspecified R03.0 Elevated BP I10 Essential HTN E11.65 DM2 w/ hyperglycemia |
CPT codes listed for provider reference only. Coding decisions remain the responsibility of the ordering provider. TC modifier applies to technical component. Patients pay out of pocket — no insurance billing.
Clinical guideline notes: USPSTF recommends one-time AAA screening for men aged 65–75 with any history of smoking (Grade B). ACC/AHA guidelines recommend echocardiography for evaluation of suspected valvular disease, heart failure, and cardiomyopathy.
Every report is authored by Dr. Gandelman and formatted for clinical utility — findings, measurements, and a clear clinical impression you can act on at the next visit.
Sample Reports — De-identified
93306 · TC
Echocardiogram
Complete study with Doppler. EF, valve function, wall motion, chamber size.
View Sample →93880 · TC
Carotid Duplex
Bilateral. PSV/EDV, IMT, ICA/CCA ratios, vertebral flow, morphology.
View Sample →76706
Abdominal Aorta
AP diameter at three levels, waveform analysis, plaque assessment.
View Sample →93976 · TC
Renal Artery Duplex
Bilateral velocities, kidney dimensions, occlusive disease screening.
View Sample →Dual-credentialed cardiac and vascular sonographer. All studies performed to ARDMS standards with full Doppler imaging included.
Board-certified cardiologist with subspecialty certification in echocardiography. Associate Clinical Professor, New York Medical College. Greenwich Cardiology.
All studies are interpreted by Dr. Gandelman at Greenwich Cardiology. BlackPoint Diagnostics performs the technical component; the professional interpretation is provided by the reading cardiologist.
As a BlackPoint affiliated provider, your patients receive a rate of $297 per scan — $100 less than the standard $397 rate. This rate is available only through an established partnership. You'll receive a unique partner code to share with your patients. They enter it at checkout when booking online and the discount is applied automatically.
The discounted rate applies to individual scans. Standard package pricing applies separately. View all packages →
Any physician who wants imaging results quickly and without insurance friction can refer to BlackPoint. We're a particularly strong fit for:
DPC physicians often need imaging but don't have in-house equipment. BlackPoint is a natural extension of your practice — no prior auth, no insurance delays, results in 48 hours.
For overflow, homebound patients, post-procedure monitoring, or patients who struggle to travel. We provide cardiologist-grade imaging that integrates seamlessly with your existing workflow.
Diabetic vascular complication screening and renal arterial assessment are core to your patient panel. Our Diabetic Complication package covers all three vascular studies in one visit.
For practices with consistent imaging volume, we offer scheduled on-site scanning days — we bring all equipment to your office and operate in any available exam room.
Block scheduling available. Particularly well-suited for DPC practices, concierge medicine, and multi-provider groups who want a seamless imaging workflow without hospital referrals.
Yes — BlackPoint is a direct-pay service. No insurance billing, no prior auth. This is what makes next-day scheduling possible. We provide itemized receipts with CPT codes that patients can submit to their insurer for potential reimbursement.
Yes — with the patient's consent, we route a copy to your practice via HIPAA-compliant email. Just include your office email on the referral or ask the patient to mention your name when booking.
Call us directly at (207) 409-7797. Same-day appointments are often available for urgent referrals.
Echocardiogram, carotid duplex, AAA screening, venous duplex, arterial duplex, and renal arterial ultrasound — all available individually or as bundled packages.
You can refer by downloading and completing our physician order form, or simply telling your patient to book online at blackpointdiagnostics.com/booking or call (207) 409-7797. No prior authorization or referral number is needed.
All studies are reviewed by a board-certified cardiologist and written reports are delivered within 24–48 hours via HIPAA-compliant encrypted email.
BlackPoint is a direct-pay service. Patients pay at the time of booking — no insurance billing, no prior authorization. This is what allows us to schedule within days rather than weeks. We provide itemized receipts with CPT codes that patients can submit to their insurer for potential reimbursement.
We serve all of Southern Maine, including Portland, South Portland, Scarborough, Brunswick, Bath, Lewiston, and surrounding communities. We travel to the patient's home, workplace, or a partner location of their choosing.
Direct line to Emanuel — (207) 409-7797 · emanuel@blackpointdiagnostics.com