Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report
Relative Value Units (RVUs)
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Clinical Information
When to Use
For stress echocardiography with exercise or pharmacologic stress
Common Scenarios
Documentation Requirements
- Indication for stress echocardiography
- Stress method used
- Rest and stress images
- Wall motion analysis
- Interpretation and report
Coding Guidelines
Common Modifiers
Bundling Rules
- Includes rest and stress echocardiography
- Includes stress test
- Includes interpretation and report
- Rest echocardiography coded separately
- Stress test coded separately
Exclusions
- 93351 (stress echocardiography, different code)
- 93350 (stress echocardiography, different code)
- 93303 (rest echocardiography only)
- 93015 (cardiovascular stress test)
Coding Notes
Clinical scenarios
- Indication for stress echocardiography
- Stress method used
- Rest and stress images
- Indication for stress echocardiography
- Stress method used
- Rest and stress images
- Indication for stress echocardiography
- Stress method used
- Rest and stress images
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
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CPT 93352 is the billing code for "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report". For stress echocardiography with exercise or pharmacologic stress
Medicare pays approximately $33.96 for CPT 93352 (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 93352 has a total RVU of 17.86, broken down as: Work RVU 4.60, Practice Expense RVU 12.80, and Malpractice RVU 0.46. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 93352 include: Indication for stress echocardiography; Stress method used; Rest and stress images; Wall motion analysis. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 93352: Includes rest and stress echocardiography. Includes stress test Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 93352 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 93352 is 60-90 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.