2025 CPT code 93980
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Penile Vascular Studies Medicine: Non-Invasive Vascular Diagnostic Studies Feed
Duplex scan of penile vessels, complete study.
Modifiers may be applicable depending on the circumstances of service (e.g., 26 for professional component, 59 for distinct procedural service). Consult current CPT guidelines for modifier usage.
Medical necessity for this study is established when there is a clinical indication, such as symptoms of erectile dysfunction, suspected penile vascular disease, or evaluation of post-operative or traumatic vascular injury.Appropriate documentation supporting the clinical indication must be included in the medical record.
The physician or qualified healthcare professional performs the ultrasound examination, interprets the images and Doppler waveforms, and generates a report detailing the findings, including assessment of arterial inflow and venous outflow.This may include the use of a vasodilator for enhanced visualization.
In simple words: This test uses ultrasound to create detailed pictures and measure blood flow in the blood vessels of the penis. This helps doctors diagnose problems with blood flow that may cause erectile dysfunction.
This CPT code encompasses a complete duplex ultrasound study of the penile arteries and veins to assess arterial inflow and venous outflow.The procedure involves real-time grayscale imaging, spectral Doppler analysis, and color flow Doppler imaging to comprehensively evaluate blood flow patterns and vessel structure within the penis.It is typically indicated for the diagnosis of erectile dysfunction or other penile vascular conditions.
Example 1: A 55-year-old male presents with erectile dysfunction.A complete duplex Doppler ultrasound of the penile vasculature (93980) is performed to assess for arterial insufficiency or venous leakage as potential causes., A 60-year-old male patient with a history of pelvic surgery undergoes a post-operative duplex scan of the penile vasculature (93980) to evaluate for potential vascular complications impacting erectile function., A patient presents with penile trauma.A complete duplex Doppler ultrasound (93980) is indicated to assess the extent of vascular damage and inform surgical decision-making.
* Detailed history and physical exam focusing on symptoms related to penile vascular function.* Report describing the ultrasound findings, including images, Doppler waveforms, measurements of arterial inflow and venous outflow, and interpretation of the results.* Documentation of the specific locations and number of levels examined within the penile vasculature.Note if any provocative maneuvers were employed.* If applicable, documentation supporting the use of a vasodilator (type, dose).
** Accurate and comprehensive documentation is paramount for proper reimbursement.Clinicians should carefully review CPT guidelines and payer-specific requirements before billing.
- Revenue Code: 0267 (Echo/Doppler)
- RVU: This varies depending on location and payer. Consult a fee schedule or claims processing system for specific RVU values and reimbursement rates.
- Global Days: Not applicable to this diagnostic procedure.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is not usually used with this code as it represents a professional service, unless there's a specific arrangement where the technical and professional components are billed separately.
- Fee Schedule: Fee schedules are payer and location-specific. Information varies over time; consult relevant fee schedules for the particular payer and time period.
- Specialties:Urology, Vascular Surgery
- Place of Service:Office