CPT code 93975: Vascular duplex, complete organ inflow and outflow2026 Medicare rate & RVUs in Vermont
Reports a complete duplex evaluation of arterial inflow and venous outflow serving abdominal, pelvic, scrotal, or retroperitoneal structures.
In Vermont, Medicare pays $254.87 for 93975 in the office.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $254.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$254.87
- Los Angeles, CA · California$299.01+$44.14
- Washington, DC area · District of Columbia$300.36+$45.49
- Miami, FL · Florida$274.73+$19.86
- Chicago, IL · Illinois$266.16+$11.29
- Manhattan, NY · New York$299.32+$44.45
- Alaska · Alaska$290.22+$35.35
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $278.66 | — |
| Merced, CACalifornia | $278.66 | — |
| Modesto, CACalifornia | $278.66 | — |
| Napa, CACalifornia | $328.47 | — |
| Oxnard, CACalifornia | $298.12 | — |
| Redding, CACalifornia | $278.66 | — |
| Rest of CaliforniaCalifornia | $278.66 | — |
| Riverside, CACalifornia | $280.07 | — |
| Sacramento, CACalifornia | $293.92 | — |
| Salinas, CACalifornia | $292.87 | — |
| San Diego, CACalifornia | $300.89 | — |
| Marin County, CACalifornia | $349.44 | — |
| San Francisco, CACalifornia | $349.29 | — |
| San Benito County, CACalifornia | $357.29 | — |
| Santa Clara County, CACalifornia | $356.69 | — |
| San Luis Obispo, CACalifornia | $288.00 | — |
| Santa Cruz, CACalifornia | $304.65 | — |
| Santa Maria, CACalifornia | $294.27 | — |
| Santa Rosa, CACalifornia | $307.81 | — |
| Stockton, CACalifornia | $278.66 | — |
| Vallejo, CACalifornia | $328.26 | — |
| Visalia, CACalifornia | $278.66 | — |
| Yuba City, CACalifornia | $278.66 | — |
| ColoradoColorado | $272.59 | — |
| ConnecticutConnecticut | $277.57 | — |
| DelawareDelaware | $256.34 | — |
| Fort Lauderdale, FLFlorida | $265.52 | — |
| Rest of FloridaFlorida | $251.82 | — |
| Atlanta, GAGeorgia | $263.65 | — |
| Rest of GeorgiaGeorgia | $236.58 | — |
| Hawaii, Guam, HIHawaii | $287.11 | — |
| IowaIowa | $238.12 | — |
| IdahoIdaho | $239.53 | — |
| East St. Louis, ILIllinois | $246.23 | — |
| Rest of IllinoisIllinois | $242.75 | — |
| Suburban Chicago, ILIllinois | $268.67 | — |
| IndianaIndiana | $241.11 | — |
| KansasKansas | $236.20 | — |
| KentuckyKentucky | $234.72 | — |
| New Orleans, LALouisiana | $246.97 | — |
| Rest of LouisianaLouisiana | $234.04 | — |
| Metropolitan Boston, MAMassachusetts | $302.38 | — |
| Rest of MassachusettsMassachusetts | $270.42 | — |
| Baltimore area, MDMaryland | $276.67 | — |
| Rest of MarylandMaryland | $261.82 | — |
| Rest of MaineMaine | $240.18 | — |
| Southern Maine, MEMaine | $255.63 | — |
| Detroit, MIMichigan | $254.57 | — |
| Rest of MichiganMichigan | $240.86 | — |
| MinnesotaMinnesota | $262.43 | — |
| Metropolitan Kansas City, MOMissouri | $245.85 | — |
| Metropolitan St. Louis, MOMissouri | $248.78 | — |
| Rest of MissouriMissouri | $229.12 | — |
| MississippiMississippi | $227.88 | — |
| MontanaMontana | $259.18 | — |
| North CarolinaNorth Carolina | $243.08 | — |
| North DakotaNorth Dakota | $256.61 | — |
| NebraskaNebraska | $239.77 | — |
| New HampshireNew Hampshire | $267.55 | — |
| Northern New JerseyNew Jersey | $296.60 | — |
| Rest of New JerseyNew Jersey | $281.10 | — |
| New MexicoNew Mexico | $242.04 | — |
| NevadaNevada | $258.68 | — |
| NYC suburbs and Long Island, NYNew York | $306.36 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $282.43 | — |
| Queens, NYNew York | $303.04 | — |
| Rest of New YorkNew York | $247.05 | — |
| OhioOhio | $240.34 | — |
| OklahomaOklahoma | $234.99 | — |
| Portland, OROregon | $282.78 | — |
| Rest of OregonOregon | $257.03 | — |
| Metropolitan Philadelphia, PAPennsylvania | $269.61 | — |
| Rest of PennsylvaniaPennsylvania | $241.15 | — |
| Puerto RicoPuerto Rico | $261.51 | — |
| Rhode IslandRhode Island | $266.60 | — |
| South CarolinaSouth Carolina | $242.04 | — |
| South DakotaSouth Dakota | $256.31 | — |
| TennesseeTennessee | $237.42 | — |
| Austin, TXTexas | $271.36 | — |
| Beaumont, TXTexas | $239.34 | — |
| Brazoria, TXTexas | $256.58 | — |
| Dallas, TXTexas | $258.05 | — |
| Fort Worth, TXTexas | $255.93 | — |
| Galveston, TXTexas | $257.23 | — |
| Houston, TXTexas | $259.61 | — |
| Rest of TexasTexas | $247.70 | — |
| UtahUtah | $245.72 | — |
| VirginiaVirginia | $254.22 | — |
| Virgin Islands, VIUnited States Virgin Islands | $261.51 | — |
| Rest of WashingtonWashington | $270.15 | — |
| King County, WAWashington | $309.57 | — |
| WisconsinWisconsin | $247.07 | — |
| West VirginiaWest Virginia | $232.62 | — |
| WyomingWyoming | $258.06 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $290.22 | 1 |
| AL | $230.17 | 1 |
| AR | $226.47 | 1 |
| AZ | $251.84 | 1 |
| CA | $278.66–$357.29 | 29 |
| CO | $272.59 | 1 |
| CT | $277.57 | 1 |
| DC | $300.36 | 1 |
| DE | $256.34 | 1 |
| FL | $251.82–$274.73 | 3 |
| GA | $236.58–$263.65 | 2 |
| GU | $287.11 | 1 |
| HI | $287.11 | 1 |
| IA | $238.12 | 1 |
| ID | $239.53 | 1 |
| IL | $242.75–$268.67 | 4 |
| IN | $241.11 | 1 |
| KS | $236.20 | 1 |
| KY | $234.72 | 1 |
| LA | $234.04–$246.97 | 2 |
| MA | $270.42–$302.38 | 2 |
| MD | $261.82–$300.36 | 3 |
| ME | $240.18–$255.63 | 2 |
| MI | $240.86–$254.57 | 2 |
| MN | $262.43 | 1 |
| MO | $229.12–$248.78 | 3 |
| MS | $227.88 | 1 |
| MT | $259.18 | 1 |
| NC | $243.08 | 1 |
| ND | $256.61 | 1 |
| NE | $239.77 | 1 |
| NH | $267.55 | 1 |
| NJ | $281.10–$296.60 | 2 |
| NM | $242.04 | 1 |
| NV | $258.68 | 1 |
| NY | $247.05–$306.36 | 5 |
| OH | $240.34 | 1 |
| OK | $234.99 | 1 |
| OR | $257.03–$282.78 | 2 |
| PA | $241.15–$269.61 | 2 |
| PR | $261.51 | 1 |
| RI | $266.60 | 1 |
| SC | $242.04 | 1 |
| SD | $256.31 | 1 |
| TN | $237.42 | 1 |
| TX | $239.34–$271.36 | 8 |
| UT | $245.72 | 1 |
| VA | $254.22–$300.36 | 2 |
| VI | $261.51 | 1 |
| VT | $254.87 | 1 |
| WA | $270.15–$309.57 | 2 |
| WI | $247.07 | 1 |
| WV | $232.62 | 1 |
| WY | $258.06 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.13 | × 1.000 | 1.1300 |
| Practice expense | 6.50 | × 0.990 | 6.4350 |
| Malpractice | 0.13 | × 0.506 | 0.0658 |
| Total RVUs | 7.6308 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$254.87
Office: (1.13 × 1 + 6.5 × 0.99 + 0.13 × 0.506) × $33.4009 = $254.87
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 93975 has changed in Vermont
93975 · Office / nonfacility
$254.87
Effective 2026-10-01
The base rate is $5.59 higher than on 2025-10-01, moving from $249.28 to $254.87 (2.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$249.28changed to$254.87
- 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
- Practice expense GPCI 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$260.34changed to$249.28
- 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.
March 9, 2024
RVU24AR
$256.09changed to$260.34
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$267.57changed to$256.09
- 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
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$275.14changed to$267.57
- 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
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$282.31changed to$275.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.85 changed to 6.71
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$282.66changed to$282.31
- 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
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$285.80changed to$282.66
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.60 changed to 6.55
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$292.65changed to$285.80
- 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.
January 1, 2018
RVU18AR1
No ratechanged to$292.65
Held through RVU18B, RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $254.87 | Not available in this setting | RVU26D |
| 2026-07-01 | $254.87 | Not available in this setting | RVU26C |
| 2026-04-01 | $254.87 | Not available in this setting | RVU26B |
| 2026-01-01 | $254.87 | Not available in this setting | RVU26A |
| 2025-10-01 | $249.28 | Not available in this setting | RVU25D |
| 2025-07-01 | $249.28 | Not available in this setting | RVU25C |
| 2025-04-01 | $249.28 | Not available in this setting | RVU25B |
| 2025-01-01 | $249.28 | Not available in this setting | RVU25A |
| 2024-10-01 | $260.34 | Not available in this setting | RVU24D |
| 2024-07-01 | $260.34 | Not available in this setting | RVU24C |
| 2024-04-01 | $260.34 | Not available in this setting | RVU24B |
| 2024-03-09 | $260.34 | Not available in this setting | RVU24AR |
| 2024-01-01 | $256.09 | Not available in this setting | RVU24A |
| 2023-10-01 | $267.57 | Not available in this setting | RVU23D |
| 2023-07-01 | $267.57 | Not available in this setting | RVU23C |
| 2023-04-01 | $267.57 | Not available in this setting | RVU23B |
| 2023-01-01 | $267.57 | Not available in this setting | RVU23A |
| 2022-10-01 | $275.14 | Not available in this setting | RVU22D |
| 2022-07-01 | $275.14 | Not available in this setting | RVU22C |
| 2022-04-01 | $275.14 | Not available in this setting | RVU22B |
| 2022-01-01 | $275.14 | Not available in this setting | RVU22A |
| 2021-10-01 | $282.31 | Not available in this setting | RVU21D |
| 2021-07-01 | $282.31 | Not available in this setting | RVU21C |
| 2021-04-01 | $282.31 | Not available in this setting | RVU21B |
| 2021-01-01 | $282.31 | Not available in this setting | RVU21A |
| 2020-10-01 | $282.66 | Not available in this setting | RVU20D |
| 2020-07-01 | $282.66 | Not available in this setting | RVU20C |
| 2020-04-01 | $282.66 | Not available in this setting | RVU20B |
| 2020-01-01 | $282.66 | Not available in this setting | RVU20A |
| 2019-10-01 | $285.80 | Not available in this setting | RVU19D |
| 2019-07-01 | $285.80 | Not available in this setting | RVU19C |
| 2019-04-01 | $285.80 | Not available in this setting | RVU19B |
| 2019-01-01 | $285.80 | Not available in this setting | RVU19A |
| 2018-10-01 | $292.65 | Not available in this setting | RVU18D |
| 2018-07-01 | $292.65 | Not available in this setting | RVU18C |
| 2018-04-01 | $292.65 | Not available in this setting | RVU18B |
| 2018-01-01 | $292.65 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | Additional calculation required | Not available in this setting | RVU16D |
| 2016-07-01 | Additional calculation required | Not available in this setting | RVU16C |
| 2016-04-01 | Additional calculation required | Not available in this setting | RVU16B |
| 2016-01-01 | Additional calculation required | Not available in this setting | RVU16A |
| 2015-10-01 | Additional calculation required | Not available in this setting | RVU15D |
| 2015-07-01 | Additional calculation required | Not available in this setting | RVU15C |
| 2015-04-01 | Additional calculation required | Not available in this setting | RVU15B |
| 2015-01-01 | Additional calculation required | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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