Billing code 93930: Arm arterial duplexMedicare rate & RVUs

Bilateral upper-extremity arterial duplex ultrasound evaluates arm arterial flow when symptoms or findings raise concern for stenosis, occlusion, aneurysm, or graft dysfunction.

CMS RVU26DEffective Oct 1, 2026109 payment localities23.6K Medicare services in 2024

Medicare pays $198.74 for 93930 nationally in the office. Local office rates run $173.24–$274.90.

Medicare rate · 93930

Arm arterial duplex

Work RVUs
0.78
Total RVUs
5.95
Global days
XXX

National rate · 2026

$198.74

Office setting, before claim adjustments.

See every locality for 93930 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 93930 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93930 covers

This study uses ultrasound imaging and Doppler measurements to assess arterial flow in both arms. Vascular sonographers typically acquire the images in an outpatient vascular laboratory or hospital, and a qualified physician interprets the findings. It may be ordered for suspected upper-extremity arterial narrowing or blockage, an aneurysm, or assessment of an arterial bypass graft. The report should identify the clinical indication, the vessels examined, relevant flow findings, and the physician’s interpretation.

Report 93930 for a complete bilateral arterial duplex examination; it represents both arms, not a separate unit for each side. Use 93931 for a unilateral or limited examination. The global service includes the professional interpretation and the technical work; modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. Because 93930 is priced as bilateral, modifier 50 does not increase payment.

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 93930 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$173.24 to $274.90

$173.24$224.07$274.90
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

93930 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$176.12Unavailable
Alaska*$221.27Unavailable
Arizona$193.00Unavailable
Arkansas$173.24Unavailable
Atlanta$202.19Unavailable
Austin$208.23Unavailable
Bakersfield$214.18Unavailable
Baltimore/Surr. Cntys$212.31Unavailable
Beaumont$183.26Unavailable
Brazoria$196.68Unavailable

93930 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.

$173.24

$244.39

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

View every state and territory as a table
93930 office rate range by state
State / territoryOffice rate rangeLocalities
AK$221.271
AL$176.121
AR$173.241
AZ$193.001
CA$213.89–$274.9029
CO$209.151
CT$213.001
DC$230.661
DE$196.501
FL$192.96–$210.793
GA$181.09–$202.192
GU$220.531
HI$220.531
IA$182.331
ID$183.431
IL$185.88–$206.074
IN$184.661
KS$180.821
KY$179.651
LA$179.12–$189.202
MA$207.45–$232.292
MD$200.75–$230.663
ME$183.93–$195.982
MI$184.43–$195.102
MN$201.291
MO$175.28–$190.613
MS$174.321
MT$198.731
NC$186.181
ND$196.751
NE$183.621
NH$205.261
NJ$215.68–$227.702
NM$185.351
NV$198.351
NY$189.28–$235.275
OH$184.031
OK$179.871
OR$197.07–$217.092
PA$184.67–$206.792
PR$200.551
RI$204.461
SC$185.361
SD$196.521
TN$181.781
TX$183.26–$208.238
UT$188.231
VA$194.87–$230.662
VI$200.551
VT$195.391
WA$207.25–$237.872
WI$189.311
WV$177.991
WY$197.871

How the 93930 rate is calculated

Each of 93930’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 · 93930

RVUs × geographic indexes × conversion factor

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense5.07

5.07 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

5.9500

Conversion factor

$33.4009

Medicare rate

$198.74

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

Payment rules and modifiers for 93930

The CMS indicators that decide how 93930 is paid alongside other services.

CMS payment indicators · 93930

Arm arterial duplex

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
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

93930 without 26 · national office

$198.74

Arm arterial duplex

93930-26 · Professional component

$37.07

Pays only the interpretation and report.

When to use modifier 26

93930 compared with similar codes

Compare codes · National

4 codes, side by side

  • 93930

    Arm arterial duplex0.78 wRVU

    $198.74

  • 93931

    Arterial duplex0.49 wRVU

    $120.91−$77.83

  • 93922

    Arterial study0.24 wRVU

    $83.17−$115.57

  • 93985

    Dialysis access mapping0.78 wRVU

    $249.17+$50.43

How to choose

93931Arterial duplex
93931 is for a unilateral or limited upper-extremity arterial duplex examination; 93930 covers a complete bilateral examination.
93922Arterial study
93922 reports physiologic arterial testing at two levels. It is not the bilateral arm arterial duplex imaging reported with 93930.
93985Dialysis access mapping
93985 is used for complete bilateral duplex vessel mapping for hemodialysis-access planning; 93930 evaluates upper-extremity arteries for diagnostic purposes.

93930 billing questions

When should 93930 be used instead of 93931?

Use 93930 for a complete examination of both arms. Use 93931 when the examination is unilateral or limited.

Should modifier 50 be added?

No. 93930 is already priced as a bilateral service, and modifier 50 does not increase payment.

How are the professional and technical portions billed?

Bill without a component modifier for the global service. Use modifier 26 for the physician’s interpretation or modifier TC for the technical work when those portions are billed separately.

Does the multiple-procedure reduction affect both components?

CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component.

What documentation supports a complete bilateral study?

Document the reason for testing, that both arms were examined, the vessels evaluated, the Doppler and imaging findings, and the interpreting physician’s assessment.

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 93930PPRRVU2026_Oct_nonQPP.csv, line 12,320 (RVU26D)

Open CMS sourceHow we calculate rates

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