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See a sample rate comparisonCPT 93325 Fee Schedule
Last Verified: October 2026
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.
Add-On Test Heart Ultrasound, A Heart Ultrasound (Echocardiograph) Assesses How Well The Heart Valves Function. The Images Show The Size And Shape Of The Heart While It Is Working.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $23.72 national non-facility rate (2026) · View Medicare rates for 93325 |
| Medicaid Fee Schedule | $20.28 median of the 8 states in the free preview · View Medicaid rates for 93325 |
National average reimbursement for CPT 93325 by major payers:
$34.54
$53.89
$50.01
$54.49
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CPT 93325
5 of 25 sample ratesHigher to lower in this preview
Heather Boyd
Magella Medical Associates Billing Inc
$548.54Published rateLaura Masters
Texas Childrens Physician Group
$131.03Published rateCatherine Bertels
U T Physicians
$41.06Published rateEric Sabonghy
U T Physicians
$37.04Published rateAshwini Sharma
Montgomery Cardiovascular Associates, P.C.
$4.21Published rate
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See a sample payer proposalCPT 93325 vs. Other Cardiovascular Procedures Codes
The CPT 93325 code is part of the Medicine Services and 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 93325 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 |
|---|---|---|
| 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) |
| 93325-CPT | Low | Add-On Test Heart Ultrasound, A Heart Ultrasound (Echocardiograph) Assesses How Well The Heart Valves Function. The Images Show The Size And Shape Of The Heart While It Is Working. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93325 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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