$170.91
Use 93979 for a limited examination and 93978 for a complete examination of the applicable abdominal vessels or related graft.
On this page
CMS RVU26D · Effective 2026-10-01
93979 Vascular duplex Medicare reimbursement rates in Utah
Reports a focused duplex ultrasound assessment of abdominal aortic, caval, iliac, or related bypass-graft vasculature rather than a complete study. Compare 93979 office and facility rates across CMS payment localities in Utah.
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 93979 in Utah?
Utah 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
$110.44
1 of 1 localities have a supported rate.
Payment area: Utah
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 diagnostic testing
About 93979: Limited abdominal vascular duplex study
Reports a focused duplex ultrasound assessment of abdominal aortic, caval, iliac, or related bypass-graft vasculature rather than a complete study.
This code represents a limited duplex ultrasound assessment of the aorta, inferior vena cava, iliac vessels, or a related bypass graft. The exam uses ultrasound imaging and Doppler flow analysis to evaluate the specified vascular area. Vascular laboratories, radiology departments, and physician offices may perform the study for a focused clinical question, such as follow-up of a known abdominal vascular abnormality or assessment of a graft. The documented anatomy and scope distinguish a limited study from a complete examination.
Report the code when the performed study is limited in scope; the record should identify the vessel or graft examined, the clinical indication, and the findings supporting the evaluation. CMS recognizes professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff, or no component modifier for the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component when applicable. The global service includes both components.
CMS billing rules for 93979
- 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) RVU2.92 · 84%
- Malpractice RVU0.08 · 2%
50.4K
Medicare services in 2024 · #779 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.
93979 compared with similar codes
Office rates for Utah, from the same CMS release.
$245.72
93975 evaluates visceral organ vascular flow; 93979 addresses a limited study of the aorta, IVC, iliac vasculature, or a related bypass graft.
93976
No office rateVascular study
93976 is the limited visceral vascular duplex code. The anatomic target, not simply the limited scope, distinguishes it from 93979.
Compare 93979 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
Utah →
Office / nonfacility
$110.44
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 93979 in Utah.
PPRRVU2026_Oct_nonQPP.csv
12,341
- Code
- 93979
- Physician work
- 0.49
- Practice expense
- 2.92
- Malpractice
- 0.08
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 2.92 | × 0.940 | 2.7448 |
| Malpractice | 0.08 | × 0.898 | 0.0718 |
| Total RVUs | 3.3066 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$110.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 2.92 | 0.94 |
| Malpractice | 0.08 | 0.898 |
(0.49 × 1 + 2.92 × 0.94 + 0.08 × 0.898) × $33.4009 = $110.44
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.
93979 billing questions
How does this differ from 93978?
93979 represents a limited examination of the relevant abdominal vessels or graft, while 93978 is the complete-study sibling. Use the code that matches the documented scope of the examination.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
When does the multiple procedure reduction affect this code?
CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component. It does not apply to the professional component under the rule provided for this code.
How is this different from 93975 or 93976?
Those codes describe duplex evaluation of visceral organ vascular flow. Choose 93979 for a limited assessment of the aorta, IVC, iliac vasculature, or a related bypass graft.
What should the report document?
Document the clinical reason for the study, the specific vessel or graft examined, the limited scope of the evaluation, and the duplex findings.
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.
12,33893978,,Vascular study,A,,0.78,4.48,,4.48,NA,0.14,5.40,5.40,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,7.48,7.48,0.16
12,33993978,26,Vascular study,A,,0.78,0.23,,0.23,,0.11,1.12,1.12,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,34093978,TC,Vascular study,A,,0.00,4.25,,4.25,NA,0.03,4.28,4.28,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,7.25,7.25,0.05
12,34193979,,Vascular study,A,,0.49,2.92,,2.92,NA,0.08,3.49,3.49,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.31,3.31,0.08
12,34293979,26,Vascular study,A,,0.49,0.14,,0.14,,0.06,0.69,0.69,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,34393979,TC,Vascular study,A,,0.00,2.78,,2.78,NA,0.02,2.80,2.80,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.02
12,34493980,,Penile vascular study,A,,1.22,2.34,,2.34,NA,0.06,3.62,3.62,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.70,3.70,0.07
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985