CPT 93319 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Echocardiography Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93319 |
National average reimbursement for CPT 93319 by major payers:
$74.62
$83.00
$79.03
$50.34
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93319 | $99.81 | 1740573427 - JUSTIN JAMISON | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93319 | $107.02 | 1104046630 - SYED WALIUDDIN | 320552496 | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $73.16 | 1447413919 - GHOUSE MOHIUDDIN | 510457240 | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $101.23 | 1871907774 - ODAY ALSARRAF | 362222696 - SWEDISHAMERICAN HOSPITAL | SC | Psychiatry Physician (2084P0800X) |
United | 93319 | $117.86 | 1932130325 - ELIZABETH BERRY-KRAVIS | 911780120 - (IL) RUSH UNIVERSITY MEDICAL CENTER | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93319 | $75.23 | 1942685037 - PRAKASH MISHRA | 363305449 - (IL) MOUNT SINAI COMMUNITY FOUNDATION | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $61.08 | 1366437493 - GEORGE KARTALIAN, JR. | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 93319 | $149.21 | 1790181402 - SONAM VERMA | 611661781 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93319 | $124.58 | 1730263617 - MARK ALTER | 910844563 | CA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93319 | $110.95 | 1982268959 - SIDRAH NAJAM | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $131.97 | 1285715847 - SHANNON JENNINGS | 362604009 - (IL) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $112.62 | 1568921476 - YU ZHANG | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $110.95 | 1992961643 - CYNTHIA GORDON | 815174138 - (IL) ILLINOIS PROFESSIONALS HEALTH PROGR | IL | Psychiatry Physician (2084P0800X) |
United | 93319 | $108.79 | 1952795254 - MALCOLM VANDREVALA | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93319 | $106.58 | 1629181037 - DUKE RUKTANONCHAI | 742958277 - SCOTT & WHITE CLINIC | IL | Psychiatry Physician (2084P0800X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 93319 vs. Other Cardiovascular Procedures Codes
The CPT 93319 code is part of the Echocardiography Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93319 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93318-CPT | Moderate | Echo Transesophageal Intraop, Echocardiography Transesophageal Tee For Monitoring Purposes Including Probe Placement Real Time 2 Dimensional Image Acquisition And Interpretation Leading To Ongoing Continuous Assessment Of Dynamically Changing Cardiac Pumping Function And To Therapeutic Measures On An Immediate Time Basis |
| 93319-CPT | Low | 3d Echo Img Cgen Car Anomal, 3d Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies For The Assessment Of Cardiac Structure S Eg Cardiac Chambers And Valves Left Atrial Appendage Interatrial Septum Interventricular Septum And Function When Performed List Separately In Addition To Code For Echocardiographic Imaging |
| 93320-CPT | Low | Doppler Echocardiography Puls, Doppler Echocardiography Pulsed Wave Andor Continuous Wavewith Spectral Display (List Separately In Addition To Codes For Echocardiographic Imaging) Complete |
| 93321-CPT | Low | Doppler Echo F-Up/Lmtd Std, Doppler Echocardiography Pulsed Wave And/Or Continuous Wave With Spectral Display (List Separately In Addition To Codes For Echocardiographic Imaging); Follow-Up Or Limited Study (List Separately In Addition To Codes For Echocardiographic Imaging) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93319. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93319 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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