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CPT code 93981: Penile duplex, limited study2026 Medicare rate & RVUs in Connecticut

Reports a focused duplex ultrasound assessment of penile blood flow, typically used in evaluating erectile dysfunction when a complete vascular study is not performed.

CMS RVU26DEffective Oct 1, 2026One payment locality348 Medicare services in 2024

In Connecticut, Medicare pays $78.50 for 93981 in the office.

$78.50Office (non-facility)
Not available in this settingHospital or facility
+6.8%vs the national office rate ($73.48)

Check a contract rate as a % of Medicare · 93981 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 93981 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 93981 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 93981 covers

This service uses duplex ultrasound to assess blood flow in penile vessels, such as when evaluating erectile dysfunction for evidence of impaired arterial inflow or venous outflow. Urologists, radiologists, or vascular laboratory personnel may perform the study, often in an office or imaging setting. A vasoactive medication may be injected into the corpora cavernosa during diagnostic testing, with the ultrasound findings interpreted in that clinical context.

Select the limited-study code when the documented examination is focused or incomplete rather than a complete assessment of penile arterial inflow and venous outflow. The record should identify the indication, the vessels or flow findings assessed, and the reason the study was limited. Report the professional interpretation with modifier 26 and the equipment-and-staff portion with modifier TC; without a modifier, the claim represents the global service. The cardiovascular diagnostic 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 Connecticut compares for 93981

Across 109 of 109 payment localities, the office rate for 93981 runs from $64.69 in Arkansas to $99.98 in San Benito County, CA. Connecticut pays $78.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

93981 in Connecticut vs other payment areas
  1. Connecticut · this page$78.50
  2. Los Angeles, CA · California$84.20+$5.70
  3. Washington, DC area · District of Columbia$84.69+$6.19
  4. Miami, FL · Florida$77.89−$0.61
  5. Chicago, IL · Illinois$75.60−$2.90
  6. Manhattan, NY · New York$84.55+$6.05
  7. Alaska · Alaska$83.82+$5.32

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

Every other payment area

93981 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$65.68—
ArkansasArkansas$64.69—
ArizonaArizona$71.50—
Bakersfield, CACalifornia$78.78—
Chico, CACalifornia$78.65—
El Centro, CACalifornia$78.66—
Fresno, CACalifornia$78.65—
Hanford, CACalifornia$78.65—

93981 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.

$64.69

$89.32

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

View every state and territory as a table
93981 office rate range by state
State / territoryOffice rate rangeLocalities
AK$83.821
AL$65.681
AR$64.691
AZ$71.501
CA$78.65–$99.9829
CO$77.061
CT$78.501
DC$84.691
DE$72.731
FL$71.61–$77.893
GA$67.50–$74.722
GU$80.841
HI$80.841
IA$67.761
ID$68.161
IL$69.21–$76.174
IN$68.581
KS$67.271
KY$66.951
LA$66.78–$70.252
MA$76.50–$85.132
MD$74.21–$84.693
ME$68.35–$72.472
MI$68.63–$72.382
MN$74.221
MO$65.47–$70.713
MS$65.101
MT$73.481
NC$69.131
ND$72.691
NE$68.201
NH$75.681
NJ$79.50–$83.722
NM$68.951
NV$73.321
NY$70.20–$86.475
OH$68.471
OK$67.001
OR$72.85–$79.782
PA$68.67–$76.372
PR$74.101
RI$75.521
SC$68.891
SD$72.591
TN$67.611
TX$68.19–$76.718
UT$69.881
VA$72.11–$84.692
VI$74.101
VT$72.241
WA$76.41–$87.072
WI$70.131
WV$66.491
WY$73.131

See 93981 in every payment locality

How the 93981 rate is calculated

Each of 93981’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 · 93981

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.43

0.43 RVUs× 1.000 GPCI

Practice expense1.73

1.73 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.2000

Conversion factor

$33.4009

Medicare rate

$73.48

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,347

Code
93981
Physician work
0.43
Practice expense
1.73
Malpractice
0.04

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 93981 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0200.4386
Practice expense1.73× 1.0771.8632
Malpractice0.04× 1.2100.0484
Total RVUs2.3502
Conversion factor× 33.4009

Office rate, Connecticut$78.50

Office: (0.43 × 1.02 + 1.73 × 1.077 + 0.04 × 1.21) × $33.4009 = $78.50

Open 93981 in the RVU calculator

Payment rules and modifiers for 93981

The CMS indicators that decide how 93981 is paid alongside other services.

CMS payment indicators · 93981

Penile duplex, limited study

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

93981 without 26 · national office

$73.48

Penile duplex, limited study

93981-26 · Professional component

$21.04

Pays only the interpretation and report.

When to use modifier 26

Codes related to 93981

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

Codes related to 93981
CodeHow it relatesOffice range, Connecticut
Same family
93980Penile vascular study, complete inflow and outflowComplete penile vascular duplex study; distinguish by the documented extent of the examination.$128.17
Often billed with
54235Penile injection, pharmacologic agentMay accompany the study when a diagnostic intracavernosal injection is separately performed.$100.62
Used instead
93975Vascular duplex, complete organ inflow and outflowUsed for a complete duplex assessment of abdominal, pelvic, or scrotal contents rather than penile vessels.$277.57
93976Vascular duplex, limited abdominal, pelvic, or scrotal studyUsed for a limited duplex assessment of abdominal, pelvic, or scrotal contents rather than penile vessels.No office rate

How 93981 has changed in Connecticut

93981 · Office / nonfacility

$78.50

Effective 2026-10-01

The base rate is $4.87 higher than on 2025-10-01, moving from $73.63 to $78.50 (6.6%).

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

    $73.63changed to$78.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.44 changed to 0.43
    • Practice expense RVU 1.63 changed to 1.73
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.14changed to$73.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.64 changed to 1.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $74.89changed to$76.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $77.29changed to$74.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.61 changed to 1.64
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $78.44changed to$77.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.60 changed to 1.61
    • Malpractice RVU 0.03 changed to 0.05
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $81.81changed to$78.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.67 changed to 1.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $82.19changed to$81.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.61 changed to 1.67
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $84.93changed to$82.19

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.67 changed to 1.61
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $86.43changed to$84.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.71 changed to 1.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $82.53changed to$86.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.60 changed to 1.71
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $82.19changed to$82.53

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.58 changed to 1.60
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $80.36changed to$82.19

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.56 changed to 1.58
    • Malpractice RVU 0.03 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $79.96changed to$80.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $82.27changed to$79.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.61 changed to 1.56
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $123.89changed to$82.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.83 changed to 1.61
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $123.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$78.50Not available in this settingRVU26D
2026-07-01$78.50Not available in this settingRVU26C
2026-04-01$78.50Not available in this settingRVU26B
2026-01-01$78.50Not available in this settingRVU26A
2025-10-01$73.63Not available in this settingRVU25D
2025-07-01$73.63Not available in this settingRVU25C
2025-04-01$73.63Not available in this settingRVU25B
2025-01-01$73.63Not available in this settingRVU25A
2024-10-01$76.14Not available in this settingRVU24D
2024-07-01$76.14Not available in this settingRVU24C
2024-04-01$76.14Not available in this settingRVU24B
2024-03-09$76.14Not available in this settingRVU24AR
2024-01-01$74.89Not available in this settingRVU24A
2023-10-01$77.29Not available in this settingRVU23D
2023-07-01$77.29Not available in this settingRVU23C
2023-04-01$77.29Not available in this settingRVU23B
2023-01-01$77.29Not available in this settingRVU23A
2022-10-01$78.44Not available in this settingRVU22D
2022-07-01$78.44Not available in this settingRVU22C
2022-04-01$78.44Not available in this settingRVU22B
2022-01-01$78.44Not available in this settingRVU22A
2021-10-01$81.81Not available in this settingRVU21D
2021-07-01$81.81Not available in this settingRVU21C
2021-04-01$81.81Not available in this settingRVU21B
2021-01-01$81.81Not available in this settingRVU21A
2020-10-01$82.19Not available in this settingRVU20D
2020-07-01$82.19Not available in this settingRVU20C
2020-04-01$82.19Not available in this settingRVU20B
2020-01-01$82.19Not available in this settingRVU20A
2019-10-01$84.93Not available in this settingRVU19D
2019-07-01$84.93Not available in this settingRVU19C
2019-04-01$84.93Not available in this settingRVU19B
2019-01-01$84.93Not available in this settingRVU19A
2018-10-01$86.43Not available in this settingRVU18D
2018-07-01$86.43Not available in this settingRVU18C
2018-04-01$86.43Not available in this settingRVU18B
2018-01-01$86.43Not available in this settingRVU18AR1
2017-10-01$82.53Not available in this settingRVU17D
2017-07-01$82.53Not available in this settingRVU17C
2017-04-01$82.53Not available in this settingRVU17B
2017-01-01$82.53Not available in this settingRVU17A
2016-10-01$82.19Not available in this settingRVU16D
2016-07-01$82.19Not available in this settingRVU16C
2016-04-01$82.19Not available in this settingRVU16B
2016-01-01$82.19Not available in this settingRVU16A
2015-10-01$80.36Not available in this settingRVU15D
2015-07-01$80.36Not available in this settingRVU15C
2015-04-01$79.96Not available in this settingRVU15B
2015-01-01$79.96Not available in this settingRVU15A
2014-10-01$82.27Not available in this settingRVU14D
2014-07-01$82.27Not available in this settingRVU14C
2014-04-01$82.27Not available in this settingRVU14B
2014-01-01$82.27Not available in this settingRVU14A
2013-10-01$123.89Not available in this settingRVU13D
2013-07-01$123.89Not available in this settingRVU13C
2013-04-01$123.89Not available in this settingRVU13B
2013-01-01$123.89Not available in this settingRVU13AR

Price 93981 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

93981 billing questions

How do I choose this code over 93980?

Use 93981 for a limited penile vascular examination. Use 93980 when the documented study is complete, evaluating both arterial inflow and venous outflow.

Can a diagnostic injection be reported with this study?

A diagnostic intracavernosal injection may be separately reported when it is performed and documented as a distinct service. Code 54235 describes that injection service.

How should the professional and technical portions be billed?

Use modifier 26 for the physician’s interpretation and modifier TC for the equipment and staff portion. Billing without either modifier represents the global service.

Which portion is affected by the cardiovascular diagnostic multiple-procedure reduction?

The reduction applies to the technical component. When billing the components separately, it is the TC portion to which this reduction applies.

What documentation supports reporting a limited study?

Document the clinical indication, the scope of the penile vessel assessment, and the findings obtained. The record should support that the examination was limited rather than a complete arterial inflow and venous outflow study.

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 93981PPRRVU2026_Oct_nonQPP.csv, line 12,347 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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