★★★★★ 4.9 from 41 Google reviews · Trusted and loved by 3,500+ U.S. practices

Detect PAD and autonomic neuropathy in one seven-minute test.

Smart-LEDA+ is the only point-of-care platform that combines true cuff-based ABI, TBI, and sudomotor function testing in a single, medical-assistant-operated workflow. By your side while care flows.

Designed for CPT 93922 / 93923 / 95923 · HIPAA secure · HITRUST-certified cloud

3,500+ practices

already run the Smart-ABI Process. Five minutes per test, run by a trained medical assistant, read and signed into the EMR.

CPT 93922 / 93923 / 95923 HIPAA secure HITRUST-certified cloud AHA-recommended ABI testing 40+ five-star clinician reviews
Patient qualification

Which patients can we test?

A patient who meets any one of the following can be tested.

Patients over the age of 65

Patients over 50 with a history of diabetes, smoking, or both

High-risk patients with additional comorbidities, symptoms, or both

Any patient with a justified medical necessity

PAD symptoms to ask about

  • Painful cramping or aching in the legs when walking
  • Skin color changes on the legs and feet
  • Shiny skin or hair loss on the leg
  • Weak or no pulse in the legs or feet
  • Sores on the toes, feet, or legs that do not heal

Who is at risk for PAD?

  • Diabetes
  • Smoking
  • Obesity
  • High cholesterol
  • High blood pressure
  • People 50 and over
  • Family history

Coverage and payment policies vary by payer. Documentation and billing for arterial studies are covered in the Coding, Compliance, and Documentation Webinar.

The differentiator no competitor matches

Smart-LEDA+ sees what an ABI-only device can't.

The sudomotor module measures the smallest unmyelinated nerve fibers at the foot, the earliest marker of autonomic-nervous-system dysfunction and a leading indicator of diabetic peripheral and autonomic neuropathy. Paired with true cuff-based ABI and TBI, it delivers a complete lower-extremity disease assessment in one workflow.

  • Vascular + autonomic in one visit: no second appointment, no referral out.
  • Detects dysfunction conventional exams miss: even when the standard foot exam appears normal.
  • Two of three patients are asymptomatic: early detection is the whole point.
See Smart-LEDA+ in a demo →
Smart-LEDA+ kit: four wireless ABI and TBI cuffs, sudomotor electrode pads, and pulse oximeter docked in the tray
ABI, TBI, and sudomotor testing run from one wireless kit.

How the platform compares

ABI / VPR vascular readingSmart-LEDA+ & most
True cuff-based methodology (not a PPG substitute)Smart-LEDA+
Toe-Brachial Index for incompressible vesselsSmart-LEDA+
Sudomotor / autonomic-neuropathy testingSmart-LEDA+ only

Other point-of-care vascular devices stop at a vascular reading. Smart-LEDA+ adds the autonomic-neuropathy dimension that no comparable platform offers.

MA-operated workflow

From patient to EMR in seven minutes.

The Smart-ABI Process is built so a trained medical assistant can run the whole test before the physician enters the room.

1

Enter patient info

A comprehensive set-up screen guides patient selection and entry.

2

Apply wireless cuffs

Color-coded, wireless cuffs with directional arrows and an audio walkthrough.

3

One-click run

One-click activation captures ABI, VPR, TBI and sudomotor in about seven minutes.

4

Signed report to EMR

A color-coded report is ready to read, sign, and add to most major EMRs.

Webinar · October 20, 2026 · 4:00 PM Central

Coding, Compliance, and Documentation Webinar with Dr. Jeffrey Lehrman

Presented by Jeffrey Lehrman, DPM, FASPS, MAPWCA, CPC. How to document and bill arterial studies: what the report needs to state, the guidelines behind CPT 93922 and 93923, and how payer rules differ by insurer. Webinar details →

Register →
Watch

Peripheral artery disease is underdiagnosed.

A short animated overview of PAD, the patients who go undiagnosed, and where a Smart-ABI test fits in the visit.

Smart-ABI: testing everyone at risk for PAD. Sound on.
Explore Smart-ABI

Everything you need to evaluate the platform.

Voice of the clinician

Practices keep it running daily.

From 40+ five-star clinician reviews on Google, spanning podiatry, vascular, endocrinology, and multi-specialty groups.

★★★★★
“All of the MAs in our clinic are trained within a few minutes as the system walks you through the entire process.”
SK
Sarah Kilwien-Palma RangelEugene Podiatry Associates
★★★★★
“Beneficial to both our practice in terms of revenue and in diagnosing peripheral vascular disease.”
AR
Angela RobinSpartan Podiatry
★★★★★
“Takes just 5–8 minutes, and there is no need to be referred to a different practice or lab.”
MR
Milana R.Foot & Ankle Clinic of Danvers
Read all 40+ reviews →
Clinician FAQ

The questions practices ask first.

How long does the test take?
Five minutes of total patient throughput, from entry of patient information to results in hand, or seven minutes when performing both the vascular and sudomotor study.
What makes Smart-LEDA+ different from other ABI devices?
Smart-LEDA+ is the only wireless device in its class that combines true cuff-based ABI, Toe-Brachial Index, and sudomotor (autonomic neuropathy) function testing in a single platform.
Does it qualify for CPT 93922, 93923, and 95923?
Smart-ABI uses a true cuff-based, four-limb measurement designed to meet CMS technical requirements for these CPT codes, with reports formatted for audit defensibility.
Who interprets the results?
Physicians may interpret the results, or use the Smart-ABI Hub software to share results with qualified specialists for interpretation and a signed read-out.
Which patients can we test?
Patients over 65; patients over 50 with a history of diabetes and/or smoking; high-risk patients with additional comorbidities or symptoms; or any patient with a justified medical necessity.

See the five-minute test in your own workflow.

Book a demo and a Smart-ABI specialist will walk your team through patient selection, the MA-operated workflow, reimbursement, and the report your EMR receives.

Call Schedule a Demo