2015 Vascular Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2015. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Vascular Ultrasound CPT Codes and Descriptions

2015 Medicare Physician Fee Schedule – National Average*
CPT  Description
Ultrasound Evaluation Private Office 1 Hospital2 Professional  Component 3 Technical Component4
76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete $114.06 $114.06 $37.18 $76.87
76775 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited $57.92 $57.92 $28.96 $28.96
93880 Duplex scan of extracranial arteries; complete bilateral study $204.16 $204.16 $40.05 $164.11
93882 Duplex scan of extracranial arteries; unilateral or limited study $130.15 $130.15 $25.03 $105.12
93886 Intracranial complete study $290.33 $290.33 $47.20 $243.13
93888 Intracranial limited study $150.88 $150.88 $25.74 $125.14
93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study $263.51 263.51 $40.05 $223.47
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $155.18 $155.18 $25.39 $129.79
93930 Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study $211.67 $211.67 $40.05 $40.05
93931 Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study $131.58 $131.58 $25.39 $106.19
93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study $199.51 $199.51 $35.40 $164.11
93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study $122.64 $122.64 $22.88 $99.76
93975 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study $284.96 $284.96 $57.92 $227.04
93976 Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study $165.19 $165.19 $40.76 $12.43
93978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study $193.08 $193.08 $39.69 $153.39
93979 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study $121.92 $121.92 $25.03 $96.90
Ultrasound Evaluation Private Office 1 Hospital 2 Professional  Component 3 Technical Component4
93980 Duplex scan of arterial inflow and venous outflow of penile vessels; complete study $120.85 $120.85 $61.50 $59.35
93981 Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study $72.58 $72.58 $21.45 $51.13
93990 Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) $163.04 $163.04 $25.74 $137.30
G0365 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation $200.58 $200.58 $12.51 $188.07
G0389  Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening $116.20 $116.20 $28.96 $87.24

1Private Office = Non Facility: use to estimate services in the physician officee setting. 
2Hospital = Facility: use to estimate services in the hospital (inpatient, outpatient, and emergency department), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs). 
3
Professional Payment: use to estimate the reimbursement to the physician.

4Technical Payment: use to estimate the reimbursement to the technologist.

CPT™ ve digit codes, nomenclature and other data are Copyright 2013 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. 

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.