CPT 93314Cardiology

Echo transesophageal

CPT 93314 covers a transesophageal echocardiogram (TEE), an ultrasound test where a specialized probe is guided down the esophagus to get detailed images of the heart from behind. This gives clearer pictures than a regular chest ultrasound because the probe is closer to the heart.

Showing rates for

National Average

Base Medicare rate

$215.75

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

1.85

PE RVU (NF)

4.63

MP RVU

0.19

Total RVU

6.67

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

Loading bundling edits…

Billing tips

Bill probe placement and image acquisition separately from professional interpretation (93312) when different providers perform each component
Impact: Proper component billing maximizes reimbursement; incorrect global billing may result in 40-60% underpayment
Document medical necessity clearly when TEE follows inadequate transthoracic echo (93306-93308) same day
Impact: Prevents bundling denials; use modifier 59 with supporting documentation to preserve $215.75 payment
Verify intraoperative TEE (93318) is not more appropriate code when performed during cardiac surgery
Impact: 93318 has different RVU structure and bundling rules; using wrong code can trigger $50-100 payment adjustment
Separately report conscious sedation (99152-99153) when provided by different physician and documented appropriately
Impact: Additional $75-150 reimbursement when sedation meets time and documentation requirements
Ensure image storage and complete TEE report are in medical record before claim submission
Impact: Missing images or incomplete reports are primary audit triggers; can result in 100% recoupment ($215.75 per case)
Review payer-specific policies for TEE frequency limitations, especially for repeat studies within 30 days
Impact: Many payers limit TEE frequency without prior authorization; violation results in automatic denial of $215.75

Applicable modifiers

Live Field Datano reports yet

Real billers contribute denial patterns and appeal strategies for this code. Once 5+ reports come in, you’ll see live aggregated data here — the only place this exists, free.

Working with CPT 93314?

Get the free Revenue Protection Toolkit — the denial triggers, modifier pitfalls, and bundling conflicts that quietly cost you reimbursement. Instant download.

Help build the field knowledge

MedPayIQ gets smarter as billers contribute. If you've had this code denied, share what happened so others learn from it. Anonymous, no patient info.

Related actions

Frequently asked questions

What is the Medicare reimbursement rate for CPT code 93314 in 2025?

The 2025 Medicare national average reimbursement rate for CPT 93314 is $215.75 for both facility and non-facility settings. This is based on 6.67 total RVUs (1.85 work RVU + 4.63 PE RVU + 0.19 MP RVU) multiplied by the 2025 conversion factor of 32.3465.

What is the difference between CPT 93314 and 93312?

CPT 93314 represents the technical component of transesophageal echocardiography (probe placement and image acquisition), while 93312 represents the professional component (physician interpretation and report). When the same provider performs both, bill 93312 as the global code. Split billing with 93314 and 93312 occurs when different providers handle technical vs interpretive services.

Can CPT 93314 be billed with a transthoracic echo on the same day?

Yes, but modifier 59 is typically required to indicate the TEE is a distinct procedural service. Documentation must clearly support medical necessity for both studies, such as inadequate transthoracic windows, need for superior resolution of specific structures, or evaluation of different clinical questions. Without proper documentation and modifier use, payers often bundle these services.

How many RVUs is CPT code 93314 worth?

CPT code 93314 has 6.67 total RVUs in 2025, consisting of 1.85 work RVUs, 4.63 practice expense RVUs, and 0.19 malpractice RVUs. The PE RVU is the same for both facility and non-facility settings at 4.63.

What documentation is required to bill CPT 93314?

Required documentation includes: clear medical necessity and indication for TEE, patient consent, probe type used, sedation details if administered, complete anatomical survey of all cardiac structures, measurements and assessments, stored labeled images, interpretation report, procedure times, any complications, and physician signature. Missing any element increases audit risk and potential for denial.

When should I use CPT 93318 instead of 93314?

Use CPT 93318 for intraoperative transesophageal echocardiography performed during cardiac surgery with continuous monitoring and real-time guidance. Use 93314 for diagnostic TEE performed outside the operating room or when not providing continuous intraoperative monitoring. The codes have different RVU values and bundling rules, so correct code selection is essential.

Can conscious sedation be billed separately with CPT 93314?

Yes, conscious sedation codes (99152-99153 or 99155-99157) may be separately reportable when provided by a physician other than the one performing the TEE, when time and documentation requirements are met, and when not bundled per payer policy. Moderate sedation by the TEE performer may be bundled depending on payer rules. Always verify payer-specific policies as sedation bundling rules vary significantly.