How To Use CPT Code 93319

CPT 93319 describes the use of 3D echocardiographic imaging and postprocessing during transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies. 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 93319?

CPT 93319 can be used to describe the use of 3D echocardiographic imaging and postprocessing during transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies. This code is used when the provider performs 3D imaging to assess cardiac structures and function, using a 3D-capable machine and postprocessing software.

2. Official Description

The official description of CPT code 93319 is: ‘3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) and function, when performed (List separately in addition to code for echocardiographic imaging).’ This code should be used in conjunction with other echocardiographic imaging codes.

3. Procedure

1. During a transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies, the provider uses a 3D-capable machine to perform 3D echocardiographic imaging.
2. The provider assesses cardiac structures such as cardiac chambers and valves, left atrial appendage, interatrial septum, and interventricular septum.
3. The provider may also assess cardiac function.
4. Postprocessing software is used to reconstruct images, take measurements, and perform other functions after acquiring the ultrasound images and data.

4. Qualifying circumstances

CPT 93319 is used when the provider performs 3D echocardiographic imaging and postprocessing during transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies. This code is used to assess cardiac structures and function using a 3D-capable machine and postprocessing software.

5. When to use CPT code 93319

CPT code 93319 should be used when the provider performs 3D echocardiographic imaging and postprocessing during transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies. This code should be used in addition to the primary code for echocardiographic imaging.

6. Documentation requirements

To support a claim for CPT 93319, the provider must document the following information:

• Indication for the use of 3D echocardiographic imaging and postprocessing
• Type of echocardiography performed (transesophageal or transthoracic)
• Date and time of the procedure
• Cardiac structures assessed and any abnormalities identified
• Assessment of cardiac function
• Use of postprocessing software and any additional analysis performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 93319, ensure that the procedure is performed during transesophageal echocardiography or transthoracic echocardiography for congenital cardiac anomalies. This code should be reported in addition to the primary code for echocardiographic imaging. Do not report CPT 93319 in conjunction with other specific codes related to echocardiographic imaging. It is important to use an appropriate primary code to ensure reimbursement.

8. Historical information

CPT 93319 was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider performs 3D echocardiographic imaging and postprocessing during transesophageal echocardiography to assess the interatrial septum and left atrial appendage in a patient with suspected atrial septal defect.
2. During transthoracic echocardiography for congenital cardiac anomalies, a provider uses 3D echocardiographic imaging and postprocessing to assess the interventricular septum and cardiac function in a patient with known ventricular septal defect.
3. A provider performs 3D echocardiographic imaging and postprocessing during transesophageal echocardiography to assess the cardiac valves and left atrial appendage in a patient undergoing cardiac surgery.
4. During transthoracic echocardiography for congenital cardiac anomalies, a provider uses 3D echocardiographic imaging and postprocessing to assess the cardiac chambers and function in a pediatric patient with suspected congenital heart disease.
5. A provider performs 3D echocardiographic imaging and postprocessing during transesophageal echocardiography to assess the interatrial septum and left atrial appendage in a patient with atrial fibrillation.
6. During transthoracic echocardiography for congenital cardiac anomalies, a provider uses 3D echocardiographic imaging and postprocessing to assess the cardiac valves and function in a patient with a history of congenital heart defect repair.