CPT code 93971: Venous duplex scan, unilateral or limited study2026 Medicare rate & RVUs in New Mexico

Duplex ultrasound evaluates veins in one arm or leg, or performs a limited extremity venous examination, often when deep vein thrombosis is suspected.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5M Medicare services in 2024

In New Mexico, Medicare pays $108.28 for 93971 in the office.

$108.28Office (non-facility)
Not available in this settingHospital or facility
−6.8%vs the national office rate ($116.24)

Check a contract rate as a % of Medicare · 93971 nationwide

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

We’ll open 93971 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 93971 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93971 covers

Extremity venous duplex combines grayscale imaging and Doppler flow assessment with vein compression and other maneuvers to assess venous patency and flow. A painful, swollen leg or arm with suspected deep vein thrombosis is a common reason for the examination; assessment of known thrombosis or venous reflux may also prompt it. Vascular sonographers obtain images in office vascular labs, emergency departments, and hospital imaging departments. A radiologist, vascular surgeon, or other qualified physician interprets the findings.

Report 93971 for a unilateral extremity venous duplex or a limited study, including a focused bilateral examination; a complete bilateral arm or leg venous examination is 93970. Record which limb and veins were examined, compression and Doppler findings, and any technical limits that prevented full evaluation. When components are billed separately, use modifier 26 for physician interpretation and modifier TC for equipment and staff; bill the global service without a component modifier when both are furnished and billed together. For multiple eligible cardiovascular diagnostic tests performed for the same patient on the same date, Medicare's multiple procedure reduction affects 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.

How New Mexico compares for 93971

Across 109 of 109 payment localities, the office rate for 93971 runs from $101.34 in Arkansas to $161.22 in San Benito County, CA. New Mexico pays $108.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

93971 in New Mexico vs other payment areas
  1. New Mexico · this page$108.28
  2. Los Angeles, CA · California$134.55+$26.27
  3. Washington, DC area · District of Columbia$134.99+$26.71
  4. Miami, FL · Florida$122.88+$14.60
  5. Chicago, IL · Illinois$119.00+$10.72
  6. Manhattan, NY · New York$134.33+$26.05
  7. Alaska · Alaska$129.32+$21.04

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

93971 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$103.03—
ArkansasArkansas$101.34—
ArizonaArizona$112.90—
Bakersfield, CACalifornia$125.45—
Chico, CACalifornia$125.30—
El Centro, CACalifornia$125.31—
Fresno, CACalifornia$125.30—
Hanford, CACalifornia$125.30—

93971 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.

$101.34

$143.26

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93971 office rate range by state
State / territoryOffice rate rangeLocalities
AK$129.321
AL$103.031
AR$101.341
AZ$112.901
CA$125.30–$161.2229
CO$122.441
CT$124.571
DC$134.991
DE$114.941
FL$112.68–$122.883
GA$105.77–$118.212
GU$129.211
HI$129.211
IA$106.741
ID$107.371
IL$108.49–$120.324
IN$108.091
KS$105.821
KY$105.011
LA$104.68–$110.572
MA$121.42–$136.032
MD$117.44–$134.993
ME$107.61–$114.722
MI$107.76–$113.892
MN$117.961
MO$102.41–$111.443
MS$101.921
MT$116.231
NC$108.941
ND$115.241
NE$107.511
NH$120.121
NJ$126.17–$133.252
NM$108.281
NV$116.061
NY$110.75–$137.485
OH$107.561
OK$105.181
OR$115.34–$127.132
PA$107.95–$120.922
PR$117.311
RI$119.631
SC$108.391
SD$115.131
TN$106.371
TX$107.13–$121.878
UT$110.071
VA$114.05–$134.992
VI$117.311
VT$114.411
WA$121.32–$139.332
WI$110.881
WV$103.871
WY$115.801

See 93971 in every payment locality

How the 93971 rate is calculated

Each of 93971’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 · 93971

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense2.99

2.99 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.4800

Conversion factor

$33.4009

Medicare rate

$116.24

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,329

Code
93971
Physician work
0.44
Practice expense
2.99
Malpractice
0.05

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 93971 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0000.4400
Practice expense2.99× 0.9172.7418
Malpractice0.05× 1.2010.0601
Total RVUs3.2419
Conversion factor× 33.4009

Office rate, New Mexico$108.28

Office: (0.44 × 1 + 2.99 × 0.917 + 0.05 × 1.201) × $33.4009 = $108.28

Open 93971 in the RVU calculator

Payment rules and modifiers for 93971

The CMS indicators that decide how 93971 is paid alongside other services.

CMS payment indicators · 93971

Venous duplex scan, unilateral or limited 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

93971 without 26 · national office

$116.24

Venous duplex scan, unilateral or limited study

93971-26 · Professional component

$20.37

Pays only the interpretation and report.

When to use modifier 26

How 93971 has changed in New Mexico

93971 · Office / nonfacility

$108.28

Effective 2026-10-01

The base rate is $2.54 higher than on 2025-10-01, moving from $105.74 to $108.28 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $105.74changed to$108.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 3.04 changed to 2.99
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $109.72changed to$105.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.07 changed to 3.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $107.93changed to$109.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $111.46changed to$107.93

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $113.50changed to$111.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.08 changed to 3.07
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $114.97changed to$113.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.11 changed to 3.08
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $114.65changed to$114.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.95 changed to 3.11
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $115.39changed to$114.65

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.92 changed to 2.95
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $115.92changed to$115.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.94 changed to 2.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.96changed to$115.92

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.91 changed to 2.94
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $114.60changed to$113.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.93 changed to 2.91
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.01changed to$114.60

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $114.44changed to$115.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $106.84changed to$114.44

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.70 changed to 2.93
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $108.63changed to$106.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.94 changed to 2.70
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $108.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$108.28Not available in this settingRVU26D
2026-07-01$108.28Not available in this settingRVU26C
2026-04-01$108.28Not available in this settingRVU26B
2026-01-01$108.28Not available in this settingRVU26A
2025-10-01$105.74Not available in this settingRVU25D
2025-07-01$105.74Not available in this settingRVU25C
2025-04-01$105.74Not available in this settingRVU25B
2025-01-01$105.74Not available in this settingRVU25A
2024-10-01$109.72Not available in this settingRVU24D
2024-07-01$109.72Not available in this settingRVU24C
2024-04-01$109.72Not available in this settingRVU24B
2024-03-09$109.72Not available in this settingRVU24AR
2024-01-01$107.93Not available in this settingRVU24A
2023-10-01$111.46Not available in this settingRVU23D
2023-07-01$111.46Not available in this settingRVU23C
2023-04-01$111.46Not available in this settingRVU23B
2023-01-01$111.46Not available in this settingRVU23A
2022-10-01$113.50Not available in this settingRVU22D
2022-07-01$113.50Not available in this settingRVU22C
2022-04-01$113.50Not available in this settingRVU22B
2022-01-01$113.50Not available in this settingRVU22A
2021-10-01$114.97Not available in this settingRVU21D
2021-07-01$114.97Not available in this settingRVU21C
2021-04-01$114.97Not available in this settingRVU21B
2021-01-01$114.97Not available in this settingRVU21A
2020-10-01$114.65Not available in this settingRVU20D
2020-07-01$114.65Not available in this settingRVU20C
2020-04-01$114.65Not available in this settingRVU20B
2020-01-01$114.65Not available in this settingRVU20A
2019-10-01$115.39Not available in this settingRVU19D
2019-07-01$115.39Not available in this settingRVU19C
2019-04-01$115.39Not available in this settingRVU19B
2019-01-01$115.39Not available in this settingRVU19A
2018-10-01$115.92Not available in this settingRVU18D
2018-07-01$115.92Not available in this settingRVU18C
2018-04-01$115.92Not available in this settingRVU18B
2018-01-01$115.92Not available in this settingRVU18AR1
2017-10-01$113.96Not available in this settingRVU17D
2017-07-01$113.96Not available in this settingRVU17C
2017-04-01$113.96Not available in this settingRVU17B
2017-01-01$113.96Not available in this settingRVU17A
2016-10-01$114.60Not available in this settingRVU16D
2016-07-01$114.60Not available in this settingRVU16C
2016-04-01$114.60Not available in this settingRVU16B
2016-01-01$114.60Not available in this settingRVU16A
2015-10-01$115.01Not available in this settingRVU15D
2015-07-01$115.01Not available in this settingRVU15C
2015-04-01$114.44Not available in this settingRVU15B
2015-01-01$114.44Not available in this settingRVU15A
2014-10-01$106.84Not available in this settingRVU14D
2014-07-01$106.84Not available in this settingRVU14C
2014-04-01$106.84Not available in this settingRVU14B
2014-01-01$106.84Not available in this settingRVU14A
2013-10-01$108.63Not available in this settingRVU13D
2013-07-01$108.63Not available in this settingRVU13C
2013-04-01$108.63Not available in this settingRVU13B
2013-01-01$108.63Not available in this settingRVU13AR

Price 93971 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

93971 billing questions

When should 93970 be reported instead of 93971?

Use 93970 when a complete duplex evaluation of the veins of both arms or both legs is performed and documented. Report a unilateral or limited bilateral examination with 93971.

Can 93971 be used for arterial duplex of a leg?

No. 93971 describes an extremity venous duplex examination. Lower extremity arterial duplex examinations are reported with 93925 or 93926; upper extremity arterial duplex examinations are reported with 93930 or 93931.

How are the technical and interpretation components reported separately?

When billing split components, the provider billing for equipment and staff uses modifier TC, while the interpreting physician uses modifier 26 and documents the interpretation in a signed report. An entity billing for both components reports the global service without a component modifier.

Does a multiple procedure reduction affect this study?

When multiple eligible cardiovascular diagnostic tests are performed for the same patient on the same date, Medicare's cardiovascular diagnostic multiple procedure reduction affects the technical component of eligible services.

What documentation supports a limited study?

The report should identify the extremity and veins examined, document compression and Doppler findings, and state the clinical reason for the exam, such as leg swelling or suspected deep vein thrombosis. Document why any intended segment could not be evaluated.

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

Show the CMS file lines behind this rate
RVUs for 93971PPRRVU2026_Oct_nonQPP.csv, line 12,329 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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