Cardiology Ultrasound CPT Codes

Cardiology 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 2013. 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.

Cardiology Ultrasound and Procedural CPT Codes and Descriptions

Ultrasound Evaluation
CPT Code Code Description Non
Facility*		 Facility* Professional
Payment**		 Technical
Payment
93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography $189.51 $189.51 $61.92 $127.59
93307 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography $114.32 $114.32 $44.23 $70.09
93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete $44.91 $44.91 $18.03 $26.88
93321 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging) $23.82 $23.82 $7.14 $16.67
93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) $20.07 $20.07 $3.74 $16.33
93303 Transthoracic echocardiography for congenital cardiac anomalies; complete $197.67 $197.67 $62.26 $135.41
93350 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; $200.40 $200.40 $69.75 $130.65
93015 Cardiovascular stress test using maximal or submaximal treadmill/ bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision, interpretation and report $79.61 $79.61 n/a n/a

 

Follow-up / Limited Study
CPT Code
 Code Description Non
Facility*		 Facility** Professional
Payment		 Technical
Payment
93304 Transthoracic echocardiography for congenital cardiac anomalies; follow‐up or limited study $131.33 $131.33 $36.06 $95.26
93308 Echocardiography, transthoracic, real‐time with image documentation (2D) with or without M‐mode recording; follow‐up or limited study $100.37 $100.37 $24.84 $75.53

 

Procedures
CPT Code
 Code Description Non
Facility*		 Facility** Professional
Payment		 Technical
Payment
93312 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report $305.87 $305.87 $102.07  $203.80 
93314 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only $285.11  $285.11   $58.52  $226.59
93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete  $44.91 $44.91  $18.03 $26.88 
93321 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)  $23.82 $23.82  $7.14  $16.67 
93025 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) $20.07   $20.07 $3.74  $16.33 


* Non Facility: Includes all other settings.
** Facility: Includes hospitals (inpatient, outpatient, and emergency department), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs).

CPT™ five digit codes, nomenclature and other data are Copyright 2010 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.