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93307

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography

Cardiology Diagnostic Testing 7.03 Total RVUs
Quick Reference
For complete transthoracic echocardiography without spectral or color flow Doppler

Relative Value Units (RVUs)

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Work RVU
2.30
Physician effort
PE RVU
4.50
Practice expense
MP RVU
0.23
Malpractice
Total RVU
7.03
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 without spectral or color flow Doppler

Time Requirement
25-40 minutes typical procedure time

Common Scenarios

Complete echocardiography without Doppler
Evaluation of cardiac structure without hemodynamic assessment
Assessment of pericardial effusion
Evaluation of cardiac masses
Structural cardiac assessment

Documentation Requirements

  • Indication for echocardiography
  • Complete cardiac structure assessment
  • M-mode and 2D imaging
  • Cardiac structure and function
  • No Doppler evaluation performed

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (equipment/staff)
59 Distinct procedural service if performed separately
52 Reduced services if procedure not completed

Bundling Rules

  • Includes complete echocardiography
  • Includes M-mode and 2D imaging
  • Does not include Doppler
  • Follow-up echocardiography coded separately
  • Stress echocardiography coded separately

Exclusions

  • 93303 (complete echocardiography)
  • 93306 (complete echocardiography with spectral/color flow)
  • 93304 (follow-up or limited echocardiography)
  • 93312 (transesophageal echocardiography)

Coding Notes

No global period - diagnostic procedure
Does not include Doppler evaluation
Structural assessment only
Professional and technical components may be separate

Clinical scenarios

Complete echocardiography without Doppler
Complete echocardiography without Doppler
When to use:For complete transthoracic echocardiography without spectral or color flow Doppler
  • Indication for echocardiography
  • Complete cardiac structure assessment
  • M-mode and 2D imaging
Evaluation of cardiac structure without hemodynamic assessment
Evaluation of cardiac structure without hemodynamic assessment
When to use:For complete transthoracic echocardiography without spectral or color flow Doppler
  • Indication for echocardiography
  • Complete cardiac structure assessment
  • M-mode and 2D imaging
Assessment of pericardial effusion
Assessment of pericardial effusion
When to use:For complete transthoracic echocardiography without spectral or color flow Doppler
  • Indication for echocardiography
  • Complete cardiac structure assessment
  • M-mode and 2D imaging

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Code Details

Code 93307
Category Cardiology
Subcategory Diagnostic Testing
Total RVUs 7.03

Medicare Pricing

PFS
2025 National Rate
$131.00
Facility
$131.00
Non-Facility
$131.00
RVU Breakdown
Work RVU:0.92PE RVU:3.08MP RVU:0.05Total RVU:4.05CF:$32.3465Global Days:XXX
OPPS Details
APC:5523Status:SCopayment:
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 93307?

CPT 93307 is the billing code for "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography". For complete transthoracic echocardiography without spectral or color flow Doppler

How much does Medicare pay for CPT 93307?

Medicare pays approximately $131.00 for CPT 93307 (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.

What are the RVUs for CPT 93307?

CPT 93307 has a total RVU of 7.03, broken down as: Work RVU 2.30, Practice Expense RVU 4.50, and Malpractice RVU 0.23. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 93307?

Key documentation requirements for CPT 93307 include: Indication for echocardiography; Complete cardiac structure assessment; M-mode and 2D imaging; Cardiac structure and function. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 93307 be billed with other codes?

Bundling considerations for CPT 93307: Includes complete echocardiography. Includes M-mode and 2D imaging Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 93307?

Common modifiers for CPT 93307 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 93307?

The typical time requirement for CPT 93307 is 25-40 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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