CPT code 93975: Vascular duplex, complete organ inflow and outflow2026 Medicare rate & RVUs in North Dakota

Reports a complete duplex evaluation of arterial inflow and venous outflow serving abdominal, pelvic, scrotal, or retroperitoneal structures.

CMS RVU26DEffective Oct 1, 2026One payment locality218.1K Medicare services in 2024

In North Dakota, Medicare pays $256.61 for 93975 in the office.

$256.61Office (non-facility)
Not available in this settingHospital or facility
−1.0%vs the national office rate ($259.19)

Check a contract rate as a % of Medicare · 93975 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 93975 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 93975 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 93975 covers

This study uses ultrasound and Doppler to assess blood flow into and out of abdominal, pelvic, scrotal, or retroperitoneal structures. It may be performed for suspected renal vascular disease, portal or hepatic flow concerns, mesenteric vascular disease, or scrotal vascular conditions. A sonographer typically acquires the images, and a qualified physician interprets the study. The examination must support a complete assessment of the relevant arterial inflow and venous outflow, rather than a limited evaluation.

Report 93975 for the complete study; use the documented anatomy, vessels examined, Doppler findings, and interpretation to support that level rather than a limited study. Bill globally without a component modifier when one claim includes both the professional interpretation and technical service. Modifier 26 identifies the professional interpretation, while modifier TC identifies equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the 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.

How North Dakota compares for 93975

Across 109 of 109 payment localities, the office rate for 93975 runs from $226.47 in Arkansas to $357.29 in San Benito County, CA. North Dakota pays $256.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

93975 in North Dakota vs other payment areas
  1. North Dakota · this page$256.61
  2. Los Angeles, CA · California$299.01+$42.40
  3. Washington, DC area · District of Columbia$300.36+$43.75
  4. Miami, FL · Florida$274.73+$18.12
  5. Chicago, IL · Illinois$266.16+$9.55
  6. Manhattan, NY · New York$299.32+$42.71
  7. Alaska · Alaska$290.22+$33.61

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

93975 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$230.17—
ArkansasArkansas$226.47—
ArizonaArizona$251.84—
Bakersfield, CACalifornia$279.05—
Chico, CACalifornia$278.66—
El Centro, CACalifornia$278.68—
Fresno, CACalifornia$278.66—
Hanford, CACalifornia$278.66—

93975 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.

$226.47

$317.98

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

View every state and territory as a table
93975 office rate range by state
State / territoryOffice rate rangeLocalities
AK$290.221
AL$230.171
AR$226.471
AZ$251.841
CA$278.66–$357.2929
CO$272.591
CT$277.571
DC$300.361
DE$256.341
FL$251.82–$274.733
GA$236.58–$263.652
GU$287.111
HI$287.111
IA$238.121
ID$239.531
IL$242.75–$268.674
IN$241.111
KS$236.201
KY$234.721
LA$234.04–$246.972
MA$270.42–$302.382
MD$261.82–$300.363
ME$240.18–$255.632
MI$240.86–$254.572
MN$262.431
MO$229.12–$248.783
MS$227.881
MT$259.181
NC$243.081
ND$256.611
NE$239.771
NH$267.551
NJ$281.10–$296.602
NM$242.041
NV$258.681
NY$247.05–$306.365
OH$240.341
OK$234.991
OR$257.03–$282.782
PA$241.15–$269.612
PR$261.511
RI$266.601
SC$242.041
SD$256.311
TN$237.421
TX$239.34–$271.368
UT$245.721
VA$254.22–$300.362
VI$261.511
VT$254.871
WA$270.15–$309.572
WI$247.071
WV$232.621
WY$258.061

See 93975 in every payment locality

How the 93975 rate is calculated

Each of 93975’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 · 93975

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.13

1.13 RVUs× 1.000 GPCI

Practice expense6.50

6.50 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

7.7600

Conversion factor

$33.4009

Medicare rate

$259.19

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,332

Code
93975
Physician work
1.13
Practice expense
6.50
Malpractice
0.13

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 93975 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.13× 1.0001.1300
Practice expense6.50× 1.0006.5000
Malpractice0.13× 0.4060.0528
Total RVUs7.6828
Conversion factor× 33.4009

Office rate, North Dakota$256.61

Office: (1.13 × 1 + 6.5 × 1 + 0.13 × 0.406) × $33.4009 = $256.61

Open 93975 in the RVU calculator

Payment rules and modifiers for 93975

The CMS indicators that decide how 93975 is paid alongside other services.

CMS payment indicators · 93975

Vascular duplex, complete organ inflow and outflow

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

93975 without 26 · national office

$259.19

Vascular duplex, complete organ inflow and outflow

93975-26 · Professional component

$53.11

Pays only the interpretation and report.

When to use modifier 26

How 93975 has changed in North Dakota

93975 · Office / nonfacility

$256.61

Effective 2026-10-01

The base rate is $5.86 higher than on 2025-10-01, moving from $250.75 to $256.61 (2.3%).

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

    $250.75changed to$256.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.16 changed to 1.13
    • Practice expense RVU 6.53 changed to 6.50
    • Malpractice RVU 0.12 changed to 0.13
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $261.88changed to$250.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.64 changed to 6.53
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $257.61changed to$261.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $267.92changed to$257.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.68 changed to 6.64
    • Malpractice RVU 0.14 changed to 0.13
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $274.29changed to$267.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.71 changed to 6.68
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $281.45changed to$274.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.85 changed to 6.71

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $280.35changed to$281.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.55 changed to 6.85
    • Malpractice RVU 0.12 changed to 0.13
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $282.00changed to$280.35

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.60 changed to 6.55
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.72changed to$282.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.79 changed to 6.60
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$288.72

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$256.61Not available in this settingRVU26D
2026-07-01$256.61Not available in this settingRVU26C
2026-04-01$256.61Not available in this settingRVU26B
2026-01-01$256.61Not available in this settingRVU26A
2025-10-01$250.75Not available in this settingRVU25D
2025-07-01$250.75Not available in this settingRVU25C
2025-04-01$250.75Not available in this settingRVU25B
2025-01-01$250.75Not available in this settingRVU25A
2024-10-01$261.88Not available in this settingRVU24D
2024-07-01$261.88Not available in this settingRVU24C
2024-04-01$261.88Not available in this settingRVU24B
2024-03-09$261.88Not available in this settingRVU24AR
2024-01-01$257.61Not available in this settingRVU24A
2023-10-01$267.92Not available in this settingRVU23D
2023-07-01$267.92Not available in this settingRVU23C
2023-04-01$267.92Not available in this settingRVU23B
2023-01-01$267.92Not available in this settingRVU23A
2022-10-01$274.29Not available in this settingRVU22D
2022-07-01$274.29Not available in this settingRVU22C
2022-04-01$274.29Not available in this settingRVU22B
2022-01-01$274.29Not available in this settingRVU22A
2021-10-01$281.45Not available in this settingRVU21D
2021-07-01$281.45Not available in this settingRVU21C
2021-04-01$281.45Not available in this settingRVU21B
2021-01-01$281.45Not available in this settingRVU21A
2020-10-01$280.35Not available in this settingRVU20D
2020-07-01$280.35Not available in this settingRVU20C
2020-04-01$280.35Not available in this settingRVU20B
2020-01-01$280.35Not available in this settingRVU20A
2019-10-01$282.00Not available in this settingRVU19D
2019-07-01$282.00Not available in this settingRVU19C
2019-04-01$282.00Not available in this settingRVU19B
2019-01-01$282.00Not available in this settingRVU19A
2018-10-01$288.72Not available in this settingRVU18D
2018-07-01$288.72Not available in this settingRVU18C
2018-04-01$288.72Not available in this settingRVU18B
2018-01-01$288.72Not available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01Additional calculation requiredNot available in this settingRVU16D
2016-07-01Additional calculation requiredNot available in this settingRVU16C
2016-04-01Additional calculation requiredNot available in this settingRVU16B
2016-01-01Additional calculation requiredNot available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 93975 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

93975 billing questions

How does 93975 differ from 93976?

93975 represents a complete evaluation of arterial inflow and venous outflow for the relevant abdominal, pelvic, scrotal, or retroperitoneal structures. Use 93976 when the documented examination is limited.

When should modifier 26 or TC be reported?

Use modifier 26 for the physician's professional interpretation and modifier TC for the technical service, including equipment and staff. Report without either modifier when billing the global service.

What documentation supports the complete study?

Document the structures and vessels examined, the arterial inflow and venous outflow assessment, Doppler findings, and the interpreting provider's conclusions. The record should show why the examination was complete rather than limited.

Does the multiple procedure reduction affect the interpretation?

The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It is relevant to the TC portion when multiple cardiovascular diagnostic procedures are performed.

Is 93975 the right code for an aortoiliac duplex?

Select the code based on the anatomy and vessels studied. A study directed at the aorta, inferior vena cava, or iliac vasculature is distinguished from 93975's evaluation of organ-related arterial inflow and venous outflow.

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 93975PPRRVU2026_Oct_nonQPP.csv, line 12,332 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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