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

CPT 93321 is the billing code for "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; complete". For complete Doppler echocardiography with pulsed wave and/or continuous wave

Medicare pays approximately $23.94 for CPT 93321 (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 93321 has a total RVU of 6.15, broken down as: Work RVU 1.50, Practice Expense RVU 4.50, and Malpractice RVU 0.15. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93321 include: Indication for Doppler study; Pulsed wave findings; Continuous wave findings; Spectral display analysis. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93321: Includes pulsed wave and/or continuous wave. Includes spectral display Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93321 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 93321 is 20-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.