$221.27
93930 is for a complete bilateral upper extremity arterial duplex. Choose 93931 for a unilateral examination or a limited study.
On this page
CMS RVU26D · Effective 2026-10-01
93931 Arterial duplex Medicare reimbursement rates in Alaska
Duplex ultrasound evaluates arteries or an arterial bypass graft in one upper extremity, or a limited portion of the upper extremity arterial system. Compare 93931 office and facility rates across CMS payment localities in Alaska.
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 93931 in Alaska?
Alaska 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
$134.69
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 imaging
About 93931: Upper extremity arterial duplex, unilateral or limited
Duplex ultrasound evaluates arteries or an arterial bypass graft in one upper extremity, or a limited portion of the upper extremity arterial system.
This service uses ultrasound imaging and Doppler assessment to evaluate blood flow in upper extremity arteries or an arterial bypass graft. It may help investigate arm or hand ischemia, diminished pulses, or suspected arterial narrowing or blockage. A vascular sonographer typically acquires the images and waveforms in a vascular laboratory or imaging department, and a qualified practitioner interprets the study.
Report 93931 for a unilateral examination or a limited study; a complete bilateral examination is represented by 93930. Documentation should identify the side and extent examined, the clinical reason, and the findings supporting the interpretation. The service may be billed globally when one entity provides both portions, or split with modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
CMS billing rules for 93931
- 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 RVU0.49 · 14%
- Practice expense (office) RVU3.06 · 85%
- Malpractice RVU0.07 · 2%
40.4K
Medicare services in 2024 · #865 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.
93931 compared with similar codes
Office rates for Alaska, from the same CMS release.
$91.20
93922 reports limited physiologic arterial testing at two levels, rather than duplex imaging of upper extremity arteries or a bypass graft.
$147.14
93923 reports physiologic arterial testing at three or more levels. Use 93931 when the service is an upper extremity arterial duplex.
Compare 93931 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
Alaska* →
Office / nonfacility
$134.69
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 93931 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
12,323
- Code
- 93931
- Physician work
- 0.49
- Practice expense
- 3.06
- Malpractice
- 0.07
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.500 | 0.7350 |
| Practice expense | 3.06 | × 1.065 | 3.2589 |
| Malpractice | 0.07 | × 0.551 | 0.0386 |
| Total RVUs | 4.0325 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$134.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1.5 |
| Practice expense | 3.06 | 1.065 |
| Malpractice | 0.07 | 0.551 |
(0.49 × 1.5 + 3.06 × 1.065 + 0.07 × 0.551) × $33.4009 = $134.69
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.
93931 billing questions
When should 93930 be reported instead?
Use 93930 for a complete bilateral upper extremity arterial duplex examination. Use 93931 for a unilateral examination or a limited study.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents 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.
How should the report support 93931?
Document the clinical indication, side and arterial territory examined, relevant images or Doppler findings, and the interpretation. The record should make clear why the study was unilateral or limited.
How does 93931 differ from 93922 or 93923?
93931 describes duplex imaging and Doppler evaluation of upper extremity arteries or a bypass graft. Codes 93922 and 93923 describe physiologic arterial testing organized by the number of levels assessed.
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.
12,32093930,,Upper extremity study,A,,0.78,5.07,,5.07,NA,0.10,5.95,5.95,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,7.51,7.51,0.12
12,32193930,26,Upper extremity study,A,,0.78,0.26,,0.26,,0.07,1.11,1.11,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,32293930,TC,Upper extremity study,A,,0.00,4.81,,4.81,NA,0.03,4.84,4.84,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,01,0,99,7.25,7.25,0.05
12,32393931,,Upper extremity study,A,,0.49,3.06,,3.06,NA,0.07,3.62,3.62,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.32,3.32,0.07
12,32493931,26,Upper extremity study,A,,0.49,0.14,,0.14,,0.05,0.68,0.68,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,32593931,TC,Upper extremity study,A,,0.00,2.92,,2.92,NA,0.02,2.94,2.94,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.02
12,32693970,,Extremity study,A,,0.68,4.74,,4.74,NA,0.09,5.51,5.51,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,7.47,7.47,0.11
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609