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CPT code 93980: Penile vascular study, complete inflow and outflow2026 Medicare rate & RVUs in Ohio

A complete penile duplex examination assesses arterial inflow and venous outflow, typically during evaluation of erectile dysfunction with suspected vascular cause.

CMS RVU26DEffective Oct 1, 2026One payment locality5.4K Medicare services in 2024

In Ohio, Medicare pays $114.13 for 93980 in the office.

$114.13Office (non-facility)
Not available in this settingHospital or facility
−5.6%vs the national office rate ($120.91)

Check a contract rate as a % of Medicare · 93980 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 93980 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 93980 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 93980 covers

Penile duplex vascular imaging evaluates blood flow through the penile arteries and venous drainage, usually during an erectile dysfunction workup when a vascular cause is being assessed. A urologist or imaging clinician performs the ultrasound, often after an intracavernosal vasoactive agent produces a response; the examination records Doppler flow information across the study rather than a single limited observation. It is performed in an office or hospital outpatient imaging setting.

Report 93980 for the complete examination of arterial inflow and venous outflow, rather than a limited penile vascular assessment. The record should support the full scope with the clinical indication, protocol, Doppler findings, images, and interpretation. Bill the professional interpretation with modifier 26, the equipment-and-staff service with TC, or the global service without a component modifier. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable.

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 Ohio compares for 93980

Across 109 of 109 payment localities, the office rate for 93980 runs from $108.92 in Arkansas to $159.01 in San Benito County, CA. Ohio pays $114.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

93980 in Ohio vs other payment areas
  1. Ohio · this page$114.13
  2. Los Angeles, CA · California$136.21+$22.08
  3. Washington, DC area · District of Columbia$137.25+$23.12
  4. Miami, FL · Florida$127.18+$13.05
  5. Chicago, IL · Illinois$124.18+$10.05
  6. Manhattan, NY · New York$137.36+$23.23
  7. Alaska · Alaska$145.47+$31.34

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

Every other payment area

93980 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$110.27—
ArkansasArkansas$108.92—
ArizonaArizona$118.20—
Bakersfield, CACalifornia$128.41—
Chico, CACalifornia$128.18—
El Centro, CACalifornia$128.19—
Fresno, CACalifornia$128.18—
Hanford, CACalifornia$128.18—

93980 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$108.92

$145.47

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

View every state and territory as a table
93980 office rate range by state
State / territoryOffice rate rangeLocalities
AK$145.471
AL$110.271
AR$108.921
AZ$118.201
CA$128.18–$159.0129
CO$125.961
CT$128.171
DC$137.251
DE$119.971
FL$118.48–$127.183
GA$112.85–$122.692
GU$130.781
HI$130.781
IA$113.061
ID$113.601
IL$115.24–$124.854
IN$114.181
KS$112.411
KY$112.071
LA$111.84–$116.572
MA$125.30–$137.522
MD$122.09–$137.253
ME$113.90–$119.472
MI$114.37–$119.552
MN$121.771
MO$110.07–$117.163
MS$109.521
MT$120.911
NC$114.951
ND$119.721
NE$113.651
NH$123.871
NJ$129.93–$136.122
NM$114.831
NV$120.651
NY$116.41–$140.015
OH$114.131
OK$112.101
OR$120.00–$129.732
PA$114.39–$125.242
PR$121.741
RI$124.051
SC$114.671
SD$119.581
TN$112.871
TX$113.73–$125.308
UT$116.021
VA$118.99–$137.252
VI$121.741
VT$119.141
WA$125.10–$140.322
WI$116.241
WV$111.541
WY$120.391

See 93980 in every payment locality

How the 93980 rate is calculated

Each of 93980’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 · 93980

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.22

1.22 RVUs× 1.000 GPCI

Practice expense2.34

2.34 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.6200

Conversion factor

$33.4009

Medicare rate

$120.91

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

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,344

Code
93980
Physician work
1.22
Practice expense
2.34
Malpractice
0.06

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 93980 in Ohio
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense2.34× 0.9132.1364
Malpractice0.06× 1.0080.0605
Total RVUs3.4169
Conversion factor× 33.4009

Office rate, Ohio$114.13

Office: (1.22 × 1 + 2.34 × 0.913 + 0.06 × 1.008) × $33.4009 = $114.13

Open 93980 in the RVU calculator

Payment rules and modifiers for 93980

The CMS indicators that decide how 93980 is paid alongside other services.

CMS payment indicators · 93980

Penile vascular study, complete 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

93980 without 26 · national office

$120.91

Penile vascular study, complete inflow and outflow

93980-26 · Professional component

$59.79

Pays only the interpretation and report.

When to use modifier 26

Codes related to 93980

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

Codes related to 93980
CodeHow it relatesOffice range, Ohio
Same family
93981Penile duplex, limited studyLimited penile vascular assessment, contrasted with this code's complete inflow and outflow study.$68.47
Often billed with
54235Penile injection, pharmacologic agentIntracavernosal pharmacologic injection may accompany a penile duplex assessment.$90.45
Used instead
76870Scrotal ultrasound, testes and scrotal contentsScrotal ultrasound evaluates scrotal structures rather than penile vascular flow.$91.92

How 93980 has changed in Ohio

93980 · Office / nonfacility

$114.13

Effective 2026-10-01

The base rate is $7.20 higher than on 2025-10-01, moving from $106.93 to $114.13 (6.7%).

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

    $106.93changed to$114.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 2.20 changed to 2.34
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $110.39changed to$106.93

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $108.59changed to$110.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $110.92changed to$108.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.16 changed to 2.20
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $112.45changed to$110.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.13 changed to 2.16
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $116.31changed to$112.45

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.21 changed to 2.13
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $118.38changed to$116.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.15 changed to 2.21
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $120.59changed to$118.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.22 changed to 2.15
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $122.44changed to$120.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.28 changed to 2.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $117.19changed to$122.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.13 changed to 2.28
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $116.24changed to$117.19

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.11 changed to 2.13
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.29changed to$116.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.09 changed to 2.11
    • Malpractice RVU 0.04 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $114.71changed to$115.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $118.08changed to$114.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.12 changed to 2.09
    • Malpractice RVU 0.08 changed to 0.04
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $156.29changed to$118.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.50 changed to 2.12
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $156.29

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$114.13Not available in this settingRVU26D
2026-07-01$114.13Not available in this settingRVU26C
2026-04-01$114.13Not available in this settingRVU26B
2026-01-01$114.13Not available in this settingRVU26A
2025-10-01$106.93Not available in this settingRVU25D
2025-07-01$106.93Not available in this settingRVU25C
2025-04-01$106.93Not available in this settingRVU25B
2025-01-01$106.93Not available in this settingRVU25A
2024-10-01$110.39Not available in this settingRVU24D
2024-07-01$110.39Not available in this settingRVU24C
2024-04-01$110.39Not available in this settingRVU24B
2024-03-09$110.39Not available in this settingRVU24AR
2024-01-01$108.59Not available in this settingRVU24A
2023-10-01$110.92Not available in this settingRVU23D
2023-07-01$110.92Not available in this settingRVU23C
2023-04-01$110.92Not available in this settingRVU23B
2023-01-01$110.92Not available in this settingRVU23A
2022-10-01$112.45Not available in this settingRVU22D
2022-07-01$112.45Not available in this settingRVU22C
2022-04-01$112.45Not available in this settingRVU22B
2022-01-01$112.45Not available in this settingRVU22A
2021-10-01$116.31Not available in this settingRVU21D
2021-07-01$116.31Not available in this settingRVU21C
2021-04-01$116.31Not available in this settingRVU21B
2021-01-01$116.31Not available in this settingRVU21A
2020-10-01$118.38Not available in this settingRVU20D
2020-07-01$118.38Not available in this settingRVU20C
2020-04-01$118.38Not available in this settingRVU20B
2020-01-01$118.38Not available in this settingRVU20A
2019-10-01$120.59Not available in this settingRVU19D
2019-07-01$120.59Not available in this settingRVU19C
2019-04-01$120.59Not available in this settingRVU19B
2019-01-01$120.59Not available in this settingRVU19A
2018-10-01$122.44Not available in this settingRVU18D
2018-07-01$122.44Not available in this settingRVU18C
2018-04-01$122.44Not available in this settingRVU18B
2018-01-01$122.44Not available in this settingRVU18AR1
2017-10-01$117.19Not available in this settingRVU17D
2017-07-01$117.19Not available in this settingRVU17C
2017-04-01$117.19Not available in this settingRVU17B
2017-01-01$117.19Not available in this settingRVU17A
2016-10-01$116.24Not available in this settingRVU16D
2016-07-01$116.24Not available in this settingRVU16C
2016-04-01$116.24Not available in this settingRVU16B
2016-01-01$116.24Not available in this settingRVU16A
2015-10-01$115.29Not available in this settingRVU15D
2015-07-01$115.29Not available in this settingRVU15C
2015-04-01$114.71Not available in this settingRVU15B
2015-01-01$114.71Not available in this settingRVU15A
2014-10-01$118.08Not available in this settingRVU14D
2014-07-01$118.08Not available in this settingRVU14C
2014-04-01$118.08Not available in this settingRVU14B
2014-01-01$118.08Not available in this settingRVU14A
2013-10-01$156.29Not available in this settingRVU13D
2013-07-01$156.29Not available in this settingRVU13C
2013-04-01$156.29Not available in this settingRVU13B
2013-01-01$156.29Not available in this settingRVU13AR

Price 93980 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

93980 billing questions

When should 93980 be selected instead of 93981?

Use 93980 when the examination evaluates both penile arterial inflow and venous outflow as a complete study. Use 93981 for a limited penile vascular assessment.

Which modifier identifies the interpretation?

Append modifier 26 for the professional interpretation. Modifier TC identifies the equipment-and-staff portion; billing without either component modifier represents the global service.

Can the pharmacologic injection be reported with the study?

Code 54235 describes an intracavernosal pharmacologic injection and may be reported with 93980 when that injection is performed as part of the encounter. Document the injection and the duplex service separately.

What documentation supports the complete study?

Document the indication, examination protocol, Doppler findings for arterial inflow and venous outflow, and the interpreting clinician's assessment. Retain the diagnostic images.

How does the multiple-procedure reduction affect 93980?

CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable. The reduction concerns the technical component, not the professional 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.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93980PPRRVU2026_Oct_nonQPP.csv, line 12,344 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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