2025 CPT code 93975
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Non-Invasive Vascular Diagnostic Studies Medicine Services and Procedures Feed
Complete duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal, and/or retroperitoneal organs.
Modifiers may be applicable depending on the circumstances of the procedure and should be chosen based on current CPT guidelines and payer requirements. Examples include, but are not limited to, modifiers 26 (professional component), 59 (distinct procedural service), and TC (technical component). Consult current NCCI guidelines for appropriate modifier use.
Medical necessity for a complete duplex scan (93975) is established when there is clinical suspicion of vascular disease affecting the abdomen, pelvis, scrotum, and/or retroperitoneal space.This suspicion might arise from symptoms such as abdominal or pelvic pain, scrotal swelling, or findings on physical examination. The test may be deemed medically necessary for diagnosis, staging, or monitoring of vascular conditions.
The clinical responsibility lies with the physician or qualified healthcare professional performing and interpreting the duplex ultrasound study.This includes obtaining informed consent, performing the scan according to established protocols, analyzing the results, and documenting the findings in the patient's medical record.
- Medicine Services and Procedures
- Medicine Services and Procedures > Non-Invasive Vascular Diagnostic Studies
In simple words: This test uses sound waves to create detailed pictures of the blood vessels in your belly, pelvis, groin area, and nearby organs. The doctor will check how blood flows in and out of these areas to see if there are any problems.
This CPT code encompasses a comprehensive duplex ultrasound examination of the arterial inflow and venous outflow within the abdominal, pelvic, scrotal, and/or retroperitoneal regions.The procedure involves a complete evaluation of the vascular supply to the organs within these areas, as well as an assessment of venous return.The study utilizes a duplex ultrasound machine, combining traditional ultrasound imaging with Doppler technology to visualize vascular structures and assess blood flow characteristics, including velocity and direction.The results include real-time images integrating B-mode two-dimensional vascular structure, Doppler spectral analysis, and color flow Doppler imaging.The procedure requires detailed documentation of anatomical and physiological parameters, including spectral analysis and/or color flow mapping or imaging of blood flow. This test is non-invasive.
Example 1: A patient presents with abdominal pain and suspected abdominal aortic aneurysm. A complete duplex scan (93975) is performed to evaluate the abdominal aorta and its branches for aneurysm or other vascular abnormalities., A patient with a history of pelvic inflammatory disease undergoes a complete duplex scan (93975) to assess for pelvic vein thrombosis or other vascular complications., A male patient presents with scrotal pain and swelling. A complete duplex scan (93975) is ordered to evaluate for varicocele or other abnormalities in the scrotal vasculature.
* Detailed patient history and reason for the study.* Images from the duplex ultrasound study, including B-mode, spectral Doppler, and color flow Doppler images.* Measurements of blood flow velocity and direction in the relevant vessels.* Interpretation of the study findings, including a clear assessment of normal or abnormal findings.* Physician's signature and date.
** Always refer to the most current CPT codebook and payer guidelines for the most up-to-date information on coding, billing, and reimbursement for this procedure.
- Revenue Code: I3F (ECHOGRAPHY - OTHER)
- RVU: Information not available in provided text.RVUs vary based on geographic location and other factors.
- Global Days: Information not available in provided text.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may be applicable under certain circumstances, particularly if the professional component (interpretation and report) is billed separately. Consult current NCCI guidelines for this code for specific instructions.
- Fee Schedule: Historical fee schedule data is not provided in the source. Fee schedules vary by payer, location, and other factors.
- Specialties:Vascular Surgery, Radiology, General Surgery, Urology, Gynecology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center