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93301

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete

Cardiology Echocardiography 11.25 Total RVUs
Quick Reference
For complete transthoracic echocardiography with 2D imaging and M-mode

Relative Value Units (RVUs)

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Work RVU
2.50
Physician effort
PE RVU
8.50
Practice expense
MP RVU
0.25
Malpractice
Total RVU
11.25
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

For complete transthoracic echocardiography with 2D imaging and M-mode

Time Requirement
30-45 minutes typical procedure time

Common Scenarios

Complete echocardiography for cardiac function
Echocardiography for heart failure evaluation
Echocardiography for valvular disease
Echocardiography for cardiomyopathy
Echocardiography for cardiac assessment

Documentation Requirements

  • Indication for echocardiography
  • 2D imaging findings
  • M-mode recordings when performed
  • Chamber dimensions and function
  • Valvular function assessment

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (equipment/staff)
59 Distinct procedural service if performed separately

Bundling Rules

  • Includes 2D imaging
  • Includes M-mode when performed
  • Includes complete study
  • Doppler studies coded separately
  • Stress echo coded separately

Exclusions

  • 93303 (complete transthoracic echocardiography with Doppler)
  • 93304 (follow-up or limited echocardiography)
  • 93307 (complete echocardiography without spectral/color flow)
  • 93308 (follow-up or limited echocardiography)

Coding Notes

No global period - diagnostic procedure
Complete study
Includes 2D and M-mode
Professional and technical components may be separate

Clinical scenarios

Complete echocardiography for cardiac function
Complete echocardiography for cardiac function
When to use:For complete transthoracic echocardiography with 2D imaging and M-mode
  • Indication for echocardiography
  • 2D imaging findings
  • M-mode recordings when performed
Echocardiography for heart failure evaluation
Echocardiography for heart failure evaluation
When to use:For complete transthoracic echocardiography with 2D imaging and M-mode
  • Indication for echocardiography
  • 2D imaging findings
  • M-mode recordings when performed
Echocardiography for valvular disease
Echocardiography for valvular disease
When to use:For complete transthoracic echocardiography with 2D imaging and M-mode
  • Indication for echocardiography
  • 2D imaging findings
  • M-mode recordings when performed

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Code Details

Code 93301
Category Cardiology
Subcategory Echocardiography
Total RVUs 11.25

Medicare Pricing

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Frequently Asked Questions

What is CPT code 93301?

CPT 93301 is the billing code for "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete". For complete transthoracic echocardiography with 2D imaging and M-mode

What are the RVUs for CPT 93301?

CPT 93301 has a total RVU of 11.25, broken down as: Work RVU 2.50, Practice Expense RVU 8.50, and Malpractice RVU 0.25. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 93301?

Key documentation requirements for CPT 93301 include: Indication for echocardiography; 2D imaging findings; M-mode recordings when performed; Chamber dimensions and function. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 93301 be billed with other codes?

Bundling considerations for CPT 93301: Includes 2D imaging. Includes M-mode when performed Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 93301?

Common modifiers for CPT 93301 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 93301?

The typical time requirement for CPT 93301 is 30-45 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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