How To Use CPT Code 93980

CPT 93980 describes the complete study of the penile blood vessels using duplex Doppler ultrasound imaging. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93980?

CPT 93980 can be used to describe a complete study of the penile blood vessels using duplex Doppler ultrasound imaging. This code is used when a provider performs a comprehensive assessment of the arterial inflow and venous outflow of the penile vessels to identify any abnormalities in blood flow.

2. Official Description

The official description of CPT code 93980 is: ‘Duplex scan of arterial inflow and venous outflow of penile vessels; complete study.’

3. Procedure

1. The patient lies on his back on an examining room table.
2. The provider injects a vasodilator into the penile arteries to increase blood flow.
3. The provider performs a penile Doppler ultrasound of the arteries supplying the corpora cavernosa on both sides of the penis.
4. After a period of time, when the patient becomes aroused, the provider repeats the Doppler ultrasound.
5. The provider uses the information gathered to determine if there are any inflow or outflow problems in the penile veins and arteries.

4. Qualifying circumstances

CPT 93980 is typically performed on patients who may be experiencing issues with blood flow to the penis. This may include individuals with erectile dysfunction or other conditions that affect penile blood vessels. The procedure is performed by a provider who is trained in performing duplex Doppler ultrasound imaging.

5. When to use CPT code 93980

CPT code 93980 should be used when a complete study of the penile blood vessels using duplex Doppler ultrasound imaging is performed. This code is appropriate when the provider assesses both the arterial inflow and venous outflow of the penile vessels to identify any abnormalities in blood flow.

6. Documentation requirements

To support a claim for CPT 93980, the provider must document the following information:

• Reason for the study and the patient’s symptoms or concerns
• Details of the procedure, including the use of a vasodilator and the performance of a penile Doppler ultrasound
• Findings from the study, including any abnormalities in arterial inflow or venous outflow
• Any additional actions taken or recommendations made based on the study results
• Signature of the provider performing the study

7. Billing guidelines

When billing for CPT 93980, ensure that the complete study of the penile blood vessels using duplex Doppler ultrasound imaging has been performed. It is important to follow the specific documentation requirements and guidelines set forth by the payer. Additionally, be aware of any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 93980 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with erectile dysfunction, and a provider performs a complete study of the penile blood vessels using duplex Doppler ultrasound imaging to assess arterial inflow and venous outflow.
2. A patient with a history of penile trauma undergoes a complete study of the penile blood vessels using duplex Doppler ultrasound imaging to evaluate any abnormalities in blood flow.
3. A provider performs a complete study of the penile blood vessels using duplex Doppler ultrasound imaging on a patient with priapism to determine the cause of the prolonged erection.
4. A patient with a suspected arterial blockage in the penile blood vessels undergoes a complete study using duplex Doppler ultrasound imaging to assess arterial inflow.
5. A provider performs a complete study of the penile blood vessels using duplex Doppler ultrasound imaging on a patient with a history of penile surgery to evaluate the success of the procedure and identify any complications.