93976
No office rateVascular study
93976 is for a limited examination of the relevant organ-related vessels; 93975 is for the complete arterial inflow and venous outflow study.
On this page
CMS RVU26D · Effective 2026-10-01
93975 Vascular duplex Medicare reimbursement rates in Alabama
Reports a complete duplex evaluation of arterial inflow and venous outflow serving abdominal, pelvic, scrotal, or retroperitoneal structures. Compare 93975 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93975 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$230.17
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular ultrasound
About 93975: Complete visceral vascular duplex study
Reports a complete duplex evaluation of arterial inflow and venous outflow serving abdominal, pelvic, scrotal, or retroperitoneal structures.
This study uses ultrasound and Doppler to assess blood flow into and out of abdominal, pelvic, scrotal, or retroperitoneal structures. It may be performed for suspected renal vascular disease, portal or hepatic flow concerns, mesenteric vascular disease, or scrotal vascular conditions. A sonographer typically acquires the images, and a qualified physician interprets the study. The examination must support a complete assessment of the relevant arterial inflow and venous outflow, rather than a limited evaluation.
Report 93975 for the complete study; use the documented anatomy, vessels examined, Doppler findings, and interpretation to support that level rather than a limited study. Bill globally without a component modifier when one claim includes both the professional interpretation and technical service. Modifier 26 identifies the professional interpretation, while modifier TC identifies equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
CMS billing rules for 93975
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU1.13 · 15%
- Practice expense (office) RVU6.50 · 84%
- Malpractice RVU0.13 · 2%
218.1K
Medicare services in 2024 · #367 by national volume
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.
93975 compared with similar codes
Office rates for Alabama, from the same CMS release.
$159.63
93978 evaluates the aorta, inferior vena cava, or iliac vasculature as its target. Choose 93975 for the complete vascular evaluation of abdominal, pelvic, scrotal, or retroperitoneal structures.
$103.22
93979 is the limited aortoiliac study. It differs from 93975 both in the vascular territory examined and in the extent of the study.
Compare 93975 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$230.17
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93975 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,332
- Code
- 93975
- Physician work
- 1.13
- Practice expense
- 6.50
- Malpractice
- 0.13
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.13 | × 1.000 | 1.1300 |
| Practice expense | 6.50 | × 0.875 | 5.6875 |
| Malpractice | 0.13 | × 0.566 | 0.0736 |
| Total RVUs | 6.8911 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$230.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.13 | 1 |
| Practice expense | 6.5 | 0.875 |
| Malpractice | 0.13 | 0.566 |
(1.13 × 1 + 6.5 × 0.875 + 0.13 × 0.566) × $33.4009 = $230.17
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
93975 billing questions
How does 93975 differ from 93976?
93975 represents a complete evaluation of arterial inflow and venous outflow for the relevant abdominal, pelvic, scrotal, or retroperitoneal structures. Use 93976 when the documented examination is limited.
When should modifier 26 or TC be reported?
Use modifier 26 for the physician's professional interpretation and modifier TC for the technical service, including equipment and staff. Report without either modifier when billing the global service.
What documentation supports the complete study?
Document the structures and vessels examined, the arterial inflow and venous outflow assessment, Doppler findings, and the interpreting provider's conclusions. The record should show why the examination was complete rather than limited.
Does the multiple procedure reduction affect the interpretation?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It is relevant to the TC portion when multiple cardiovascular diagnostic procedures are performed.
Is 93975 the right code for an aortoiliac duplex?
Select the code based on the anatomy and vessels studied. A study directed at the aorta, inferior vena cava, or iliac vasculature is distinguished from 93975's evaluation of organ-related arterial inflow and venous outflow.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,32993971,,Extremity study,A,,0.44,2.99,,2.99,NA,0.05,3.48,3.48,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.32,3.32,0.05
12,33093971,26,Extremity study,A,,0.44,0.14,,0.14,,0.03,0.61,0.61,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,33193971,TC,Extremity study,A,,0.00,2.85,,2.85,NA,0.02,2.87,2.87,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.02
12,33293975,,Vascular study,A,,1.13,6.50,,6.50,NA,0.13,7.76,7.76,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,7.62,7.62,0.14
12,33393975,26,Vascular study,A,,1.13,0.37,,0.37,,0.09,1.59,1.59,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,33493975,TC,Vascular study,A,,0.00,6.13,,6.13,NA,0.04,6.17,6.17,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,7.25,7.25,0.05
12,33593976,,Vascular study,A,,0.78,3.82,,3.82,NA,0.07,4.67,4.67,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.46,3.46,0.07
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515