2025 CPT code 93981
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Non-invasive Vascular Diagnostic Studies - Penile Vessels Medicine: Non-Invasive Vascular Diagnostic Studies Feed
Duplex scan of penile vessels; limited study.
Modifiers may be applicable depending on the circumstances.Consult the current CPT guidelines for appropriate modifier use.
Medical necessity is established when the limited duplex ultrasound is indicated to evaluate penile vascular function in the context of symptoms such as erectile dysfunction, penile pain, or following penile trauma. The study should be clinically indicated and ordered by a physician.
The clinical responsibility involves performing the duplex ultrasound examination of the penile arteries and veins, interpreting the results, and documenting the findings in a manner that supports medical necessity and accurate coding. This often includes documenting the grayscale images, spectral analysis, and color Doppler flow.
- Medicine: Non-Invasive Vascular Diagnostic Studies
- Medicine > Non-Invasive Vascular Diagnostic Studies > Penile Vessels
In simple words: This test uses ultrasound to check blood flow in the penis. It's a less extensive version of a similar test (93980).
This code reports a limited duplex scan of the arterial inflow and venous outflow of the penile vessels.The procedure involves the use of ultrasound technology combining grayscale imaging with color and spectral Doppler analysis to assess blood flow patterns and velocity within the penile arteries and veins. A limited study may involve fewer measurement levels or the absence of provocative maneuvers compared to a complete study (93980).
Example 1: A patient presents with erectile dysfunction. A limited duplex ultrasound of the penile vessels (93981) is performed to assess arterial inflow and venous outflow. The study reveals a significant venous leak, which contributes to the erectile dysfunction., A patient with a history of penile trauma undergoes a follow-up limited duplex ultrasound (93981) to evaluate for any vascular compromise. The study shows normal blood flow, indicating adequate healing., A patient presents with Peyronie's disease and penile pain. A limited duplex scan (93981) is used to rule out vascular etiology of the pain. Results are unremarkable.
* Complete patient history and physical examination.* Indication for the study (e.g., erectile dysfunction, penile trauma, Peyronie’s disease).* Detailed description of the ultrasound technique used, including grayscale images, spectral Doppler analysis, and color flow Doppler imaging.* Number of levels measured.* Measurements and interpretations of arterial inflow and venous outflow.* Any provocative maneuvers performed (if applicable).* Final diagnosis and treatment plan.
** This code is specifically for a limited study; a complete study is coded using 93980.Accurate documentation is crucial for appropriate reimbursement.Use of this code should align with the specific clinical circumstances and should not be reported if the study is more extensive than a limited study.
- Revenue Code: 0360
- RVU: The relative value units (RVUs) for this code vary depending on geographic location and other factors. Consult the relevant fee schedule for specific values.
- Global Days: No global period applies to this code.
- Payment Status: Active
- Modifier TC rule: The technical component modifier (TC) is not applicable to this code.
- Fee Schedule: Historical fee schedules vary by payer and location.Consult the appropriate fee schedule for historical data.
- Specialties:Urology, Vascular Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center