Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report

CPT 93312 is the billing code for "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report". For transesophageal echocardiography (TEE) for detailed cardiac evaluation

Medicare pays approximately $225.46 for CPT 93312 (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 93312 has a total RVU of 11.75, broken down as: Work RVU 4.50, Practice Expense RVU 6.80, and Malpractice RVU 0.45. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93312 include: Indication for TEE; Complete cardiac structure assessment; TEE probe placement; Image acquisition and interpretation. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93312: Includes TEE probe placement. Includes image acquisition Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93312 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 93312 is 45-60 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.