How To Use CPT Code 93314

CPT 93314 describes the procedure of transesophageal echocardiography, which involves the use of a flexible tube with a transducer at its tip to assess the overall function of the heart’s valves and chambers and detect various types of heart disease. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93314?

CPT 93314 is used to describe the procedure of transesophageal echocardiography, or TEE, which is performed by a healthcare provider to assess the overall function of the heart’s valves and chambers and detect various types of heart disease. This procedure involves the use of a flexible tube with a transducer at its tip, which is guided down the throat and into the esophagus to obtain images that provide a close look at the heart’s structures.

2. Official Description

The official description of CPT code 93314 is: ‘Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only.’ This code specifically covers the interpretation and reporting of the TEE procedure, including the acquisition of images and the analysis of the heart’s anatomy, dynamics, and function.

3. Procedure

  1. During the TEE procedure, the healthcare provider inserts a flexible tube with a transducer at its tip into the patient’s esophagus through the throat.
  2. The provider guides the tube to obtain images of the heart’s valves, chambers, and great vessels.
  3. In each view of the heart, the provider carefully analyzes the anatomy, dynamics, and function of the heart to detect any abnormalities or signs of heart disease.
  4. The provider documents the findings and prepares a report based on the interpretation of the images acquired during the TEE procedure.

4. Qualifying circumstances

CPT 93314 is typically performed on patients who require a detailed assessment of their heart’s valves and chambers or who have suspected heart disease. The procedure is performed by a healthcare provider who is trained and qualified to perform TEE, such as a cardiologist or a cardiac sonographer. The provider must have the necessary equipment and expertise to acquire and interpret the images obtained during the procedure.

5. When to use CPT code 93314

CPT code 93314 should be used when a healthcare provider performs a transesophageal echocardiography procedure and provides image acquisition, interpretation, and report services. This code is appropriate for cases where a detailed assessment of the heart’s valves and chambers is necessary, or when there is a need to detect or monitor various types of heart disease. It is important to note that CPT code 93314 should not be reported in conjunction with CPT code 93355.

6. Documentation requirements

To support a claim for CPT 93314, the healthcare provider must document the following information:

  • Indication for the TEE procedure and the reason for performing it
  • Details of the images acquired during the procedure
  • Interpretation of the heart’s anatomy, dynamics, and function
  • Findings related to the presence or absence of heart disease
  • Preparation of a report summarizing the results of the TEE procedure

7. Billing guidelines

When billing for CPT 93314, it is important to ensure that the procedure was performed by a qualified healthcare provider and that the necessary documentation is available to support the claim. If only the technical component of the procedure is being reported, modifier TC should be appended to the code. If only the professional component is being reported, modifier 26 should be appended to the code. It is also important to note that CPT code 93314 should not be reported in conjunction with CPT code 93355.

8. Historical information

CPT code 93314 was added to the Current Procedural Terminology system on January 1, 1993. There was a code change on January 1, 2009, which updated the description of the procedure to include the mention of real-time image documentation.

9. Examples

  1. A cardiologist performing a transesophageal echocardiography procedure to assess the function of a patient’s heart valves and chambers.
  2. A cardiac sonographer acquiring images during a transesophageal echocardiography procedure for a patient with suspected heart disease.
  3. A healthcare provider interpreting the images obtained during a transesophageal echocardiography procedure and preparing a report on the findings.
  4. A cardiologist performing a transesophageal echocardiography procedure to monitor the progress of a patient with a known heart condition.
  5. A cardiac sonographer analyzing the images acquired during a transesophageal echocardiography procedure to detect any abnormalities or signs of heart disease.
  6. A healthcare provider performing a transesophageal echocardiography procedure to guide the placement of a cardiac device.
  7. A cardiologist interpreting the images obtained during a transesophageal echocardiography procedure to assess the effectiveness of a patient’s heart medication.
  8. A cardiac sonographer acquiring images during a transesophageal echocardiography procedure to evaluate the function of a patient’s heart valves.
  9. A healthcare provider performing a transesophageal echocardiography procedure to assess the overall function of a patient’s heart after a cardiac surgery.
  10. A cardiologist analyzing the images obtained during a transesophageal echocardiography procedure to determine the need for further interventions in a patient with heart disease.

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