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CMS RVU26D · Effective 2026-10-01

93882 Carotid duplex Medicare reimbursement rates in Virginia

A limited or one-sided extracranial arterial duplex evaluates carotid-region blood flow when the documented examination is not a complete bilateral study. Compare 93882 office and facility rates across CMS payment localities in Virginia.

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 93882 in Virginia?

Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$121.35–$143.77

2 of 2 localities have a supported rate.

Lowest: Virginia

Highest: Dc + Md/Va Suburbs

A spread of $22.42 per service.

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.

Find 93882 in your payment locality →

Vascular ultrasound

About 93882: Limited extracranial arterial duplex study

A limited or one-sided extracranial arterial duplex evaluates carotid-region blood flow when the documented examination is not a complete bilateral study.

This ultrasound examines blood flow in extracranial arteries, most often the carotid arteries, using imaging and Doppler techniques. A vascular sonographer or other trained imaging staff member performs the acquisition; a physician or other qualified practitioner interprets the findings. It may be performed in a vascular laboratory, imaging department, or office for evaluation of a carotid bruit, cerebrovascular symptoms, or known carotid disease when the examination is unilateral or otherwise limited.

Select this code from the extent of the study actually performed, not from the severity of a suspected stenosis. The report should identify the side and vessels examined, the reason for any limited scope, the findings, and the interpreting practitioner’s conclusion. The service may be billed globally, or the interpretation may be reported with modifier 26 and the equipment-and-staff portion with modifier TC. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple-procedure reduction applies to the technical component.

CMS billing rules for 93882

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 · 13%
  • Practice expense (office) RVU3.14 · 85%
  • Malpractice RVU0.08 · 2%

26.8K

Medicare services in 2024 · #1018 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.

93882 compared with similar codes

Office rates for Virginia, from the same CMS release.

93880

Carotid duplex

Complete bilateral extracranial study

$185.35–$219.25

93880 represents a complete bilateral extracranial arterial examination. Choose 93882 for a unilateral or limited study.

93886

Intracranial Doppler

Complete study

$264.96–$314.08

93886 evaluates intracranial arteries with a complete transcranial Doppler study; 93882 evaluates extracranial arteries.

93888

Intracranial limited study

No office rate

93888 is a limited transcranial Doppler assessment of intracranial arteries, not a limited extracranial study.

93895

Carotid intima atheroma eval

No office rate

93895 assesses carotid intima-media thickness or atheroma; 93882 uses duplex ultrasound to assess extracranial arterial flow.

Compare 93882 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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93882 billing questions

When should 93882 be used instead of 93880?

Use 93882 for a unilateral or limited extracranial arterial examination. Use 93880 when the documented service is a complete bilateral extracranial study.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment-and-staff portion. Without either modifier, the claim represents the global service.

Does the multiple-procedure reduction affect both portions?

CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when multiple cardiovascular diagnostic procedures are performed.

What documentation supports reporting a limited study?

Document the clinical reason, the side and vessels examined, the scope of the examination, the findings, and the interpretation. The record should make clear why the service was unilateral or limited.

Can a complete bilateral study be reported as 93882?

No. A complete bilateral extracranial arterial examination is represented by 93880; 93882 describes a unilateral or limited examination.

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.

RVUs for 93882PPRRVU2026_Oct_nonQPP.csv, line 12,278 (RVU26D)