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93352

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

Cardiology Echocardiography 17.86 Total RVUs
Quick Reference
For stress echocardiography with exercise or pharmacologic stress

Relative Value Units (RVUs)

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Work RVU
4.60
Physician effort
PE RVU
12.80
Practice expense
MP RVU
0.46
Malpractice
Total RVU
17.86
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 stress echocardiography with exercise or pharmacologic stress

Time Requirement
60-90 minutes typical procedure time

Common Scenarios

Stress echocardiography for ischemia
Exercise stress echocardiography
Pharmacologic stress echocardiography
Stress echo for coronary artery disease
Stress echo for cardiac function assessment

Documentation Requirements

  • Indication for stress echocardiography
  • Stress method used
  • Rest and stress images
  • Wall motion analysis
  • Interpretation and report

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (equipment/staff)
59 Distinct procedural service if performed separately

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

No global period - diagnostic procedure
Includes rest and stress imaging
Includes stress test
Professional and technical components may be separate

Clinical scenarios

Stress echocardiography for ischemia
Stress echocardiography for ischemia
When to use:For stress echocardiography with exercise or pharmacologic stress
  • Indication for stress echocardiography
  • Stress method used
  • Rest and stress images
Exercise stress echocardiography
Exercise stress echocardiography
When to use:For stress echocardiography with exercise or pharmacologic stress
  • Indication for stress echocardiography
  • Stress method used
  • Rest and stress images
Pharmacologic stress echocardiography
Pharmacologic stress echocardiography
When to use:For stress echocardiography with exercise or pharmacologic stress
  • Indication for stress echocardiography
  • Stress method used
  • Rest and stress images

Who are you?

Code Details

Code 93352
Category Cardiology
Subcategory Echocardiography
Total RVUs 17.86

Medicare Pricing

PFS
2025 National Rate
$33.96
Facility
$33.96
Non-Facility
$33.96
RVU Breakdown
Work RVU:0.19PE RVU:0.84MP RVU:0.02Total RVU:1.05CF:$32.3465Global Days:ZZZ
OPPS Details
Status:MCopayment:$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 93352?

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

How much does Medicare pay for CPT 93352?

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.

What are the RVUs for CPT 93352?

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.

What documentation is required for CPT 93352?

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.

Can CPT 93352 be billed with other codes?

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.

What modifiers are commonly used with CPT 93352?

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.

What is the time requirement for CPT 93352?

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.

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