2025 CPT code 93976
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Non-Invasive Visceral and Penile Vascular Studies Medicine Services and Procedures > Non-Invasive Vascular Diagnostic Studies Feed
Limited 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 service.For example, modifier -59 (distinct procedural service) might be added if the limited duplex study is performed as a distinct service from other procedures.
Medical necessity for this procedure should be supported by clinical findings indicating a need to evaluate the vascularity of the specified organs or regions.This may include symptoms suggestive of vascular compromise, such as pain, decreased perfusion, or suspicion of organ torsion. Specific criteria for medical necessity may vary based on payer requirements and regional guidelines.
The clinical responsibility for this procedure lies with a physician specializing in radiology, vascular surgery, or other relevant specialties depending on the clinical context.The physician interprets the study results, prepares a report, and may be involved in managing the patient's condition based on findings.
- Medicine Services and Procedures > Non-Invasive Vascular Diagnostic Studies
- Non-Invasive Vascular Diagnostic Studies
In simple words: This test uses ultrasound to check the blood flow in and out of organs in your belly and pelvis.It's a less extensive version of a similar test (code 93975), focusing on specific areas or vessels.
This CPT code describes a limited duplex ultrasound study evaluating the arterial inflow and venous outflow of abdominal, pelvic, scrotal, and/or retroperitoneal organs.The study uses a combination of grayscale ultrasound imaging and Doppler ultrasound to assess blood flow patterns and velocity.A limited study implies a less comprehensive assessment compared to a complete study (93975), potentially involving fewer anatomical levels or vessels examined.
Example 1: A patient presents with suspected ovarian torsion. A limited duplex scan (93976) is performed to evaluate the ovarian blood flow, helping to confirm the diagnosis and guide treatment decisions., A patient with a history of pelvic inflammatory disease has persistent pain.A limited duplex scan (93976) is performed to assess for vascular compromise or complications related to previous inflammation., A patient undergoes a partial nephrectomy, and a limited duplex scan (93976) is used postoperatively to assess the blood flow to the remaining kidney tissue and evaluate for complications.
Detailed documentation is required, including the indication for the study, anatomical levels assessed, Doppler waveform analysis results (including spectral analysis and color flow imaging), and a summary of findings.Images are also crucial for accurate coding and medical review.
** The distinction between "complete" (93975) and "limited" (93976) studies hinges on the comprehensiveness of the vascular assessment.A "limited" study might focus on a single organ or fewer anatomical levels, whereas a "complete" study evaluates all major vessels supplying a given organ(s) bilaterally.Always ensure proper documentation reflects the extent of the study.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not usually applicable to this professional code.
- Specialties:Radiology, Vascular Surgery, Urology, Gynecology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center