CPT code 93888: Transcranial Doppler, limited intracranial study2026 Medicare rate & RVUs

Report this study for a limited transcranial Doppler assessment of intracranial arterial blood flow, rather than a complete intracranial examination.

CMS RVU26DEffective Oct 1, 2026109 payment localities8.5K Medicare services in 2024

Medicare pays $170.34 for 93888 nationally in the office.

Medicare rate · 93888

Transcranial Doppler, limited intracranial study

Office or facility?

Work RVUs
0.71
Total RVUs
5.10
Global days
XXX

National rate · 2026

$170.34

Office setting, before claim adjustments.

See every locality for 93888 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93888 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93888 covers

Transcranial Doppler uses ultrasound through the skull’s acoustic windows to assess blood-flow signals in intracranial arteries. A trained sonographer or other qualified staff member typically acquires the study in a hospital or outpatient setting, and a physician interprets the findings. Limited examinations may be used when the requested assessment does not call for the broader evaluation represented by a complete intracranial study.

Choose this code based on the extent of the examination performed, not simply the diagnosis or the number of abnormal findings. The record should support the clinical reason for testing, the vessels or windows assessed, relevant flow measurements, and the physician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 93888 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93888 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

93888 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
93888 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 93888 rate is calculated

Each of 93888’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93888

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.71

0.71 RVUs× 1.000 GPCI

Practice expense4.33

4.33 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

5.1000

Conversion factor

$33.4009

Medicare rate

$170.34

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 93888

The CMS indicators that decide how 93888 is paid alongside other services.

CMS payment indicators · 93888

Transcranial Doppler, limited intracranial study

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93888 without 26 · national office

$170.34

Transcranial Doppler, limited intracranial study

93888-26 · Professional component

$36.07

Pays only the interpretation and report.

When to use modifier 26

93888 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93888

    Transcranial Doppler, limited intracranial study0.71 wRVU

    $170.34

  • 93886

    Intracranial Doppler, complete study0.88 wRVU

    $269.88+$99.54

  • 93880

    Carotid duplex, complete bilateral extracranial study0.78 wRVU

    $189.05+$18.71

  • 93882

    Carotid duplex, unilateral or limited study0.49 wRVU

    $123.92−$46.42

  • 93892

    Emboli detection, without injection1.12 wRVU

    $306.29+$135.95

How to choose

93886Intracranial DopplerComplete study
Use 93886 for a complete intracranial Doppler examination. Use 93888 when the documented examination is limited in scope.
93880Carotid duplexComplete bilateral extracranial study
93880 evaluates extracranial carotid arteries bilaterally. This code assesses intracranial arterial flow through transcranial Doppler.
93882Carotid duplexUnilateral or limited study
93882 is a limited or unilateral extracranial carotid study; 93888 is a limited intracranial transcranial Doppler study.
93892Emboli detectionWithout injection
93892 is for a transcranial Doppler emboli-detection protocol without injection. Choose 93888 for a limited intracranial flow assessment without that specialized objective.

93888 billing questions

How does this differ from 93886?

93888 represents a limited intracranial Doppler examination; 93886 is for a complete study. Select based on the extent of the examination actually performed and documented.

Can the interpretation and technical service be billed separately?

Yes. Report modifier 26 for the professional interpretation and TC for the technical service. Without a modifier, the claim represents the global service.

Which portion is subject to the multiple procedure reduction?

The cardiovascular diagnostic multiple procedure reduction applies to the technical component of this study.

What documentation supports reporting the limited study?

Document the reason for testing, the intracranial vessels or acoustic windows assessed, the relevant flow findings, and the interpreting physician’s conclusions. The record should make clear that the examination was limited rather than complete.

Is this the right code for emboli or shunt detection?

Use the dedicated transcranial Doppler code for an emboli-detection or venous-to-arterial shunt-detection protocol. This code describes a limited intracranial flow study, not those specialized study objectives.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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