CPT code 93976: Vascular duplex, limited abdominal, pelvic, or scrotal study2026 Medicare rate & RVUs

Medicare pays $155.98 for 93976 nationally in the office.

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

What 93976 covers

This study uses Doppler ultrasound to evaluate blood flow to and from organs in the abdominal, pelvic, or scrotal region when the vascular examination is limited in scope. A scrotal blood-flow assessment during evaluation for suspected torsion is one common example. Sonographers typically acquire the images and flow data in an imaging department, hospital, or office; a qualified practitioner interprets the findings.

Select 93976 when the documented vascular examination is limited, rather than a complete study reported with 93975. Documentation should identify the region or structures examined and support the Doppler assessment and interpretation. Report the professional interpretation with modifier 26 and the equipment-and-staff service with modifier TC; without either modifier, the claim represents the global service. The cardiovascular diagnostic multiple procedure reduction affects this service’s 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 93976 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

93976 rates by state

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

How the 93976 rate is calculated

Each of 93976’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.

Payment rules and modifiers for 93976

The CMS indicators that decide how 93976 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93976 compared with similar codes

How to choose

93975Vascular duplexComplete organ inflow and outflow

Both assess blood flow in abdominal, pelvic, or scrotal organs; 93975 is for a complete examination, while 93976 is limited.

76870Scrotal ultrasoundTestes and scrotal contents

This code reports scrotal anatomy ultrasound. 93976 reports a limited Doppler vascular study and may be separately reported when both services are documented.

93981Penile duplexLimited study

93981 is a limited duplex examination focused on penile blood flow; 93976 is for limited studies of abdominal, pelvic, or scrotal organs.

Codes related to 93976

Related codes aren’t interchangeable: bill the code that matches the service performed.

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