2017 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 2017.  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

Medicare Physician Fee Schedule – National Average*
Echocardiography
CPT Code Description Private Office Hospital Professional Component Technical 2  Component
93307 U/S guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretationor primary procedure) $131.71 $131.71 $45.94 $85.77
93308 Echocardiography, transthoracic, real‐time with image documentation (2D) with or without M‐mode recording; follow‐up or limited study $126.69 $126.69 $26.20 $100.49
93303 Transthoracic echocardiography for congenital cardiac anomalies; complete $157.55 $157.55 $37.32 $120.23
93304 Transthoracic echocardiography for congenital cardiac anomalies; follow‐up or limited study $231.48 $231.48 $64.96 $166.52
93350 Echocardiography, transthoracic, real‐time with image documentation (2D), with or without M‐mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, interpretation and report $244.04 $244.04 $72.50 $171.55
93015 Cardiovascular stress test using maximal or submaximal treadmill/ bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision, interpretation and report $77.52 $77.52 n/a n/a
93320+ Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial indices, doppler waveform analysis, volume plethysmography, transcutaneous oxygen tension measurement) of first gestation. $54.91 $54.91 $18.66 $36.25
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) $27.63 $27.63 $7.54 $20.10
93325+ Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $25.84 $25.84 $3.23 $22.61
TEE
CPT Code Description Private Office Hospital Professional Component Technical 2  Component
93312 Echo transesophageal $249.79 $249.79 $111.61 $138.17
93314 Echocardiography, transesophageal, real time with image documentation (2D) (with or without M‐mode recording); image acquisition, interpretation and report only $240.10 $240.10 $93.31 $146.78
93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete $54.91 $54.91 $18.66 $36.25
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) $27.63 $27.63 $7.54 $20.10
93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) $25.84 $25.84 $3.23 $22.61
93350 Stress TTE only $232.20 $232.20 n/a n/a


1
Professional Payment: use to estimate the reimbursement to the physician.

2Technical Payment: use to estimate the reimbursement to the technologist.

CPT™ ve digit codes, nomenclature and other data are Copyright 2015 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.