Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; complete

CPT 93320 is the billing code for "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; complete". For pulsed wave or continuous wave Doppler echocardiography

Medicare pays approximately $48.52 for CPT 93320 (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 93320 has a total RVU of 3.82, broken down as: Work RVU 1.20, Practice Expense RVU 2.50, and Malpractice RVU 0.12. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93320 include: Indication for Doppler study; Doppler technique used; Valvular velocities and gradients; Spectral display findings. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93320: Includes pulsed wave and/or continuous wave Doppler. Includes spectral display Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93320 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 93320 is 15-25 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.