CPT code 93976: Vascular duplex, limited abdominal, pelvic, or scrotal study2026 Medicare rate & RVUs in Pennsylvania
Reports a limited Doppler examination of blood supply and drainage in abdominal, pelvic, or scrotal organs when a focused vascular assessment is performed.
CMS doesn’t publish an office rate for 93976 in Pennsylvania.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | Unavailable | Unavailable |
| Rest of Pennsylvania | Unavailable | Unavailable |
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.
How the rate is built · 93976
RVUs × geographic indexes × conversion factor
Work0.78
0.78 RVUs× 1.000 GPCI
Practice expense3.82
3.82 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
4.6700
Conversion factor
$33.4009
Medicare rate
$155.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93976
The CMS indicators that decide how 93976 is paid alongside other services.
CMS payment indicators · 93976
Vascular duplex, limited abdominal, pelvic, or scrotal study
| 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
93976 without 26 · national office
$155.98
Vascular duplex, limited abdominal, pelvic, or scrotal study
93976-26 · Professional component
$37.07
Pays only the interpretation and report.
93976 compared with similar codes
Compare codes · National
4 codes, side by side
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.
93976 billing questions
How does 93976 differ from 93975?
93976 represents a limited Doppler examination of blood flow in abdominal, pelvic, or scrotal organs. Use 93975 when the documented examination is complete.
Can 93976 be reported with a scrotal ultrasound?
It may be reported with a scrotal anatomy ultrasound, such as 76870, when the record supports both the anatomic examination and a distinct vascular duplex assessment.
Which component modifier should the claim use?
Use modifier 26 for the professional interpretation or modifier TC for the technical service. Submit without a component modifier when billing the global service.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of this service.
What documentation supports reporting the limited study?
Document the region or structures evaluated, the limited scope of the examination, and the Doppler findings and interpretation.
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.
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