$72.11–$84.69
93980 represents a complete assessment of penile arterial inflow and venous outflow; 93981 is for a limited penile vascular study.
On this page
CMS RVU26D · Effective 2026-10-01
93980 Penile vascular study Medicare reimbursement rates in Virginia
A complete penile duplex examination assesses arterial inflow and venous outflow, typically during evaluation of erectile dysfunction with suspected vascular cause. Compare 93980 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 93980 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
$118.99–$137.25
2 of 2 localities have a supported rate.
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 93980: Complete penile vascular duplex study
A complete penile duplex examination assesses arterial inflow and venous outflow, typically during evaluation of erectile dysfunction with suspected vascular cause.
Penile duplex vascular imaging evaluates blood flow through the penile arteries and venous drainage, usually during an erectile dysfunction workup when a vascular cause is being assessed. A urologist or imaging clinician performs the ultrasound, often after an intracavernosal vasoactive agent produces a response; the examination records Doppler flow information across the study rather than a single limited observation. It is performed in an office or hospital outpatient imaging setting.
Report 93980 for the complete examination of arterial inflow and venous outflow, rather than a limited penile vascular assessment. The record should support the full scope with the clinical indication, protocol, Doppler findings, images, and interpretation. Bill the professional interpretation with modifier 26, the equipment-and-staff service with TC, or the global service without a component modifier. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable.
CMS billing rules for 93980
- 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 RVU1.22 · 34%
- Practice expense (office) RVU2.34 · 65%
- Malpractice RVU0.06 · 2%
5.4K
Medicare services in 2024 · #1825 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.
93980 compared with similar codes
Office rates for Virginia, from the same CMS release.
$92.52–$106.61
54235 reports an intracavernosal pharmacologic injection, not Doppler imaging of penile blood flow. It may accompany 93980 when both services are performed.
$96.75–$113.40
76870 examines scrotal contents by ultrasound. Choose 93980 when the service is a penile vascular duplex assessment.
Compare 93980 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
Dc + Md/Va Suburbs →
Office / nonfacility
$137.25
Facility
Unavailable
Virginia →
Office / nonfacility
$118.99
Facility
Unavailable
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93980 billing questions
When should 93980 be selected instead of 93981?
Use 93980 when the examination evaluates both penile arterial inflow and venous outflow as a complete study. Use 93981 for a limited penile vascular assessment.
Which modifier identifies the interpretation?
Append modifier 26 for the professional interpretation. Modifier TC identifies the equipment-and-staff portion; billing without either component modifier represents the global service.
Can the pharmacologic injection be reported with the study?
Code 54235 describes an intracavernosal pharmacologic injection and may be reported with 93980 when that injection is performed as part of the encounter. Document the injection and the duplex service separately.
What documentation supports the complete study?
Document the indication, examination protocol, Doppler findings for arterial inflow and venous outflow, and the interpreting clinician's assessment. Retain the diagnostic images.
How does the multiple-procedure reduction affect 93980?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when applicable. The reduction concerns the technical component, not the professional interpretation.
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.
12,34193979,,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
12,34593980,26,Penile vascular study,A,,1.22,0.52,,0.52,,0.05,1.79,1.79,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,34693980,TC,Penile vascular study,A,,0.00,1.82,,1.82,NA,0.01,1.83,1.83,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.02
12,34793981,,Penile vascular study,A,,0.43,1.73,,1.73,NA,0.04,2.20,2.20,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,3.35,3.35,0.05