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The CPT® Code 93980 refers to a duplex scan of the arterial inflow and venous outflow of the penile vessels, which is classified as a complete study. This procedure is a specialized vascular ultrasound that assesses the blood flow dynamics within the penile vessels. It employs both B-mode imaging and Doppler ultrasound techniques to provide a comprehensive evaluation. During the procedure, a clear gel is applied to the skin to facilitate the transmission of sound waves. The B-mode transducer is then positioned on the skin, allowing for the acquisition of real-time images of the arteries and veins. The Doppler component of the transducer is crucial as it measures the velocity and direction of blood flow within these vessels. The B-mode imaging utilizes ultrasonic sound waves that penetrate the skin and reflect off the blood vessels, creating visual representations of their structure. Meanwhile, the Doppler probe emits sound waves that interact with moving blood cells, producing audible signals that indicate blood flow characteristics. Changes in the pitch of these sound waves can signify variations in blood flow, such as reductions or complete obstructions. The data collected during the scan is processed by a computer, which generates color-coded video images that illustrate the speed and direction of blood flow, as well as any potential blockages. Additionally, spectral Doppler analysis is conducted to assess anatomical details and hemodynamic function, including the detection of narrowing or plaque within the blood vessels. Following the procedure, the physician interprets the findings and documents them in a written report. For a complete study, the appropriate code to use is 93980, while code 93981 is designated for follow-up or limited studies.
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The duplex scan of the arterial inflow and venous outflow of penile vessels, coded as CPT® 93980, is indicated for various clinical scenarios. These may include:
The procedure for a duplex scan of the penile vessels involves several key steps, each critical for obtaining accurate diagnostic information.
Post-procedure care for patients undergoing a duplex scan of the penile vessels is generally minimal, as the procedure is non-invasive and does not typically require recovery time. Patients may resume normal activities immediately following the examination. However, it is essential for the physician to discuss the results with the patient, including any findings that may require further evaluation or intervention. Patients should be informed about the significance of the results and any potential next steps in their care plan based on the findings of the duplex scan.
| Short Descr | PENILE VASCULAR STUDY | Medium Descr | DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL | Long Descr | Duplex scan of arterial inflow and venous outflow of penile vessels; complete study | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services apply... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | I3F - Echography/ultrasonography - other | MUE | 1 | CCS Clinical Classification | 197 - Other diagnostic ultrasound |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | GZ | Item or service expected to be denied as not reasonable and necessary | GC | This service has been performed in part by a resident under the direction of a teaching physician | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 1993-01-01 | Added | First appearance in code book in 1993. |
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