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See a sample rate comparisonHealthcare 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 | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $192.06 national non-facility rate (2026) · View Medicare rates for 93355 |
| Medicaid Fee Schedule | $157.40 median of the 8 states in the free preview · View Medicaid rates for 93355 |
National average reimbursement for CPT 93355 by major payers:

$319.60

$307.11

$311.94

$371.06
Choose a payer to see a sample of rates for CPT 93355.
Kapil Aedma
Methodist Medical Center Of Illinois
Mark Wainwright
Pediatric Faculty Foundation In
Ritu Talwar
Horizons Behavioral Health LLC
Fedra Najjar
The Board Of Trustees Of The University Of Illinois
Rakesh Chandra
Christopher Greater Area Rural Health Planning Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 93355 vs. Other Cardiovascular Procedures Codes
The CPT 93355 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 93355 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 |
|---|---|---|
| 93312-CPT | Moderate | Echo Transesophageal, Echocardiography Transesophageal Real Time With Image Documentation 2d With Or Without M Mode Recording Including Probe Placement Image Acquisition Interpretation And Report |
| 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 |
| 93355-CPT | Moderate | Echo Transesophageal Tee, Echocardiography Transesophageal Tee For Guidance Of A Transcatheter Intracardiac Or Great Vessel S Structural Intervention S Eg Tavr Transcatheter Pulmonary Valve Replacement Mitral Valve Repair Paravalvular Regurgitation Repair Left Atrial Appendage Occlusion Closure Ventricular Septal Defect Closure Peri And Intra Procedural Real Time Image Acquisition And Documentation Guidance With Quantitative Measurements Probe Manipulation Interpretation And Report Including Diagnostic Transesophageal Echocardiography And When Performed Administration Of Ultrasound Contrast Doppler Color Flow And 3d |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93355 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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