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

CPT 93306 is the billing code for "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". For complete transthoracic echocardiography with spectral and color flow Doppler

Medicare pays approximately $187.93 for CPT 93306 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 93306 has a total RVU of 8.28, broken down as: Work RVU 2.80, Practice Expense RVU 5.20, and Malpractice RVU 0.28. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93306 include: Indication for echocardiography; Complete cardiac structure assessment; Spectral Doppler evaluation; Color flow Doppler evaluation. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93306: Includes complete echocardiography. Includes spectral Doppler Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93306 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.

The typical time requirement for CPT 93306 is 35-50 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.