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 2012. 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

2012 Medicare Physician Fee Schedule
CPT Code Code Description

Global in Office Allowable
93306 Echocardiolography, transthoracic, real time w/image documentation (sD) includes M-mode recording when performed; complete, w/spectral doppler and color flow doppler. $213.08
93307 U/S guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretationor primary procedure) $132.41
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. $54.12
93325+ Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study $28.25
93303 Transthoracic echocardiography for congenital cardiac anomalies; complete $207.97
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 $207.63
93015 Cardiovascular stress test using maximal or submaximal treadmill/ bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision, interpretation and report $88.50

Follow-up / Limited Study

2012 Medicare
Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
93304 Transthoracic echocardiography for congenital cardiac anomalies; follow‐up or limited study $134.79
93308 Echocardiography, transthoracic, real‐time with image documentation (2D) with or without M‐mode recording; follow‐up or limited study $101.77

Procedures

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
93312 Echocardiography, transesophageal, real time with image documentation (2D) (with or without M‐mode recording); including probe placement, image acquisition, interpretation and reportocardiographic imaging) $315.53
93313 Echocardiography, transesophageal, real time with image documentation (2D) (with or without M‐mode recording); placement of transesophageal probe onlyocardiography) N/A
93314 Echocardiography, transesophageal, real time with image documentation (2D) (with or without M‐mode recording); image acquisition, interpretation and report only $286.60
93318 Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2‐ dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis N/A
93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete $54.12
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) $26.89
93025 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) $28.25


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.