How To Use CPT Code 93313

CPT 93313 describes the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) with image documentation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93313?

CPT 93313 can be used to describe the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) with image documentation. This code specifically covers only the insertion of the probe to visualize the detailed anatomy of the heart.

2. Official Description

The official description of CPT code 93313 is: ‘Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. A transesophageal probe is inserted through the throat and into the esophagus.
3. The provider uses ultrasound to obtain a two-dimensional (2D) image of the heart valves and chambers.
4. The provider assesses the anatomy, dynamics, and function of the heart based on the recorded images.
5. The procedure specifically covers only the placement of the transesophageal probe.

4. Qualifying circumstances

CPT 93313 is performed when a provider needs to visualize the detailed anatomy of the heart using transesophageal echocardiography (TEE). This procedure is typically performed on patients who require a more detailed assessment of their heart valves and chambers. It is important to note that CPT 93313 cannot be reported in conjunction with CPT 93355.

5. When to use CPT code 93313

CPT code 93313 should be used when a provider performs the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) with image documentation. This code specifically covers only the insertion of the probe and does not include the interpretation and reporting of the images. If the provider performs a complete TEE procedure, including probe placement, image acquisition, interpretation, and report, CPT code 93312 should be used instead.

6. Documentation requirements

To support a claim for CPT 93313, the provider must document the following information:

• Indication for the TEE procedure
• Date and time of the probe placement
• Details of the procedure, including the use of anesthesia
• Any complications or adverse events
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 93313, ensure that the procedure involves the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) with image documentation. It is important to note that CPT 93313 cannot be reported in conjunction with CPT 93355. Additionally, there are specific global codes for TEE procedures for different purposes, such as TEE for congenital cardiac anomalies (CPT 93315). It is crucial to review the specific billing guidelines and requirements of the payer to ensure accurate reporting and reimbursement.

8. Historical information

CPT 93313 was added to the Current Procedural Terminology system on January 1, 1993. The code description was changed on January 1, 2009 to specify the inclusion of real-time image documentation.

9. Examples

1. A cardiologist placing a transesophageal probe for real-time transesophageal echocardiography (TEE) to assess a patient’s mitral valve.
2. An anesthesiologist inserting a transesophageal probe for real-time transesophageal echocardiography (TEE) during cardiac surgery.
3. A cardiac surgeon performing the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) to evaluate a patient’s aortic valve.
4. An interventional cardiologist placing a transesophageal probe for real-time transesophageal echocardiography (TEE) to guide a transcatheter closure of a patent foramen ovale.
5. A cardiac electrophysiologist performing the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) to assist in the mapping and ablation of arrhythmias.
6. A cardiothoracic surgeon inserting a transesophageal probe for real-time transesophageal echocardiography (TEE) to assess a patient’s left atrial appendage prior to surgical closure.
7. A pediatric cardiologist placing a transesophageal probe for real-time transesophageal echocardiography (TEE) to evaluate a child’s ventricular septal defect.
8. An interventional radiologist performing the placement of a transesophageal probe for real-time transesophageal echocardiography (TEE) to guide a transcatheter embolization of a vascular malformation.
9. A cardiac anesthesiologist inserting a transesophageal probe for real-time transesophageal echocardiography (TEE) during a minimally invasive cardiac procedure.