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93325

Doppler echocardiography color flow velocity mapping

Cardiology Diagnostic Testing 3.30 Total RVUs
Quick Reference
For color flow Doppler echocardiography velocity mapping

Relative Value Units (RVUs)

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Work RVU
1.00
Physician effort
PE RVU
2.20
Practice expense
MP RVU
0.10
Malpractice
Total RVU
3.30
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 color flow Doppler echocardiography velocity mapping

Time Requirement
10-20 minutes typical procedure time

Common Scenarios

Color flow evaluation of valvular regurgitation
Assessment of cardiac shunts
Evaluation of flow patterns
Assessment of turbulent flow
Visualization of blood flow

Documentation Requirements

  • Indication for color flow study
  • Color flow mapping findings
  • Valvular flow patterns
  • Shunt assessment
  • Flow velocity assessment

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 color flow velocity mapping
  • Echocardiography coded separately
  • Spectral Doppler coded separately
  • Stress echocardiography coded separately
  • Transesophageal echocardiography coded separately

Exclusions

  • 93320 (Doppler echocardiography, pulsed wave)
  • 93306 (complete echocardiography with spectral/color flow)
  • 93307 (complete echocardiography without spectral/color flow)
  • 93312 (transesophageal echocardiography)

Coding Notes

No global period - diagnostic procedure
Color flow study only
Often performed with echocardiography
Professional and technical components may be separate

Clinical scenarios

Color flow evaluation of valvular regurgitation
Color flow evaluation of valvular regurgitation
When to use:For color flow Doppler echocardiography velocity mapping
  • Indication for color flow study
  • Color flow mapping findings
  • Valvular flow patterns
Assessment of cardiac shunts
Assessment of cardiac shunts
When to use:For color flow Doppler echocardiography velocity mapping
  • Indication for color flow study
  • Color flow mapping findings
  • Valvular flow patterns
Evaluation of flow patterns
Evaluation of flow patterns
When to use:For color flow Doppler echocardiography velocity mapping
  • Indication for color flow study
  • Color flow mapping findings
  • Valvular flow patterns

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Code Details

Code 93325
Category Cardiology
Subcategory Diagnostic Testing
Total RVUs 3.30

Medicare Pricing

PFS
2025 National Rate
$22.00
Facility
$22.00
Non-Facility
$22.00
RVU Breakdown
Work RVU:0.07PE RVU:0.61MP RVU:0.00Total RVU:0.68CF:$32.3465Global Days:ZZZ
OPPS Details
Status:NCopayment:$0.00
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 93325?

CPT 93325 is the billing code for "Doppler echocardiography color flow velocity mapping". For color flow Doppler echocardiography velocity mapping

How much does Medicare pay for CPT 93325?

Medicare pays approximately $22.00 for CPT 93325 (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 93325?

CPT 93325 has a total RVU of 3.30, broken down as: Work RVU 1.00, Practice Expense RVU 2.20, and Malpractice RVU 0.10. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 93325?

Key documentation requirements for CPT 93325 include: Indication for color flow study; Color flow mapping findings; Valvular flow patterns; Shunt assessment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 93325 be billed with other codes?

Bundling considerations for CPT 93325: Includes color flow velocity mapping. Echocardiography coded separately Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 93325?

Common modifiers for CPT 93325 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 93325?

The typical time requirement for CPT 93325 is 10-20 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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