CPT code 93976: Vascular duplex, limited abdominal, pelvic, or scrotal study2026 Medicare rate & RVUs in Rhode Island
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 a rate for 93976 in Rhode Island.
Check a contract rate as a % of Medicare · 93976 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 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.
How Rhode Island compares for 93976
- Rhode Island · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Washington, DC area · District of ColumbiaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
93976 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How 93976 has changed in Rhode Island
93976 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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, 2017
RVU17A
$173.42changed toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2016
RVU16A
$173.29changed to$173.42
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.76 changed to 3.78
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$172.42changed to$173.29
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$223.13changed to$172.42
- Conversion factor 35.8228 changed to 35.7547
- Work RVU 1.21 changed to 0.80
- Practice expense RVU 4.66 changed to 3.76
- Malpractice RVU 0.09 changed to 0.06
- Work GPCI 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$223.13
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Additional calculation required | Not available in this setting | RVU26D |
| 2026-07-01 | Additional calculation required | Not available in this setting | RVU26C |
| 2026-04-01 | Additional calculation required | Not available in this setting | RVU26B |
| 2026-01-01 | Additional calculation required | Not available in this setting | RVU26A |
| 2025-10-01 | Additional calculation required | Not available in this setting | RVU25D |
| 2025-07-01 | Additional calculation required | Not available in this setting | RVU25C |
| 2025-04-01 | Additional calculation required | Not available in this setting | RVU25B |
| 2025-01-01 | Additional calculation required | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | 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 | $173.42 | Not available in this setting | RVU16D |
| 2016-07-01 | $173.42 | Not available in this setting | RVU16C |
| 2016-04-01 | $173.42 | Not available in this setting | RVU16B |
| 2016-01-01 | $173.42 | Not available in this setting | RVU16A |
| 2015-10-01 | $173.29 | Not available in this setting | RVU15D |
| 2015-07-01 | $173.29 | Not available in this setting | RVU15C |
| 2015-04-01 | $172.42 | Not available in this setting | RVU15B |
| 2015-01-01 | $172.42 | Not available in this setting | RVU15A |
| 2014-10-01 | $223.13 | Not available in this setting | RVU14D |
| 2014-07-01 | $223.13 | Not available in this setting | RVU14C |
| 2014-04-01 | $223.13 | Not available in this setting | RVU14B |
| 2014-01-01 | $223.13 | 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 Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
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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