List With CPT Codes For Echocardiogram / Echocardiography Procedures
Echocardiography/echocardiogram is used for diagnosing and monitor heart conditions by making sound waves to produce images of the heart. This allows healthcare providers to observe the heart beating and pumping blood. Below you can find an overview of all the CPT codes for echocardiograms.
1. 3D Imaging
3D echocardiography offers a more detailed and comprehensive view of the heart than standard 2D echocardiography. It’s particularly useful in assessing congenital heart conditions and heart valve malfunctions.
1.1. CPT 93319
CPT code 93319 is designated for 3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography specifically for congenital cardiac anomalies.
This code should be reported in addition to the primary echocardiographic imaging codes, such as CPT 93303, 93304, 93312, 93314, 93315, or 93317. However, it’s important not to use this code in conjunction with CPT codes 76376, 76377, 93325, or 93355.
2. Congenital Cardiac Anomaly
Echocardiography is used for diagnosing and manage congenital cardiac anomalies. These codes help identify various congenital heart defects and assess their severity and impact on heart function.
2.1. CPT 93303
CPT code 93303 is used for a complete transthoracic echocardiography for congenital cardiac anomalies. This comprehensive study includes a detailed examination of the heart’s structures and functions.
2.2. CPT 93304
CPT code 93304 covers a follow-up or limited study of transthoracic echocardiography for congenital cardiac anomalies. It’s utilized when a complete study isn’t required or when conducting periodic monitoring of known conditions.
3. Doppler Echocardiography
Doppler echocardiography measures the speed and direction of blood flow within the heart. These codes are divided into fetal Doppler, color flow velocity mapping, and pulsed or continuous wave studies.
3.1. Fetal Doppler
Fetal Doppler echocardiography is crucial for diagnosing heart conditions in fetuses.
3.1.1. CPT 76825
CPT code 76825 is used for a complete fetal echocardiography, including 2D imaging and, if performed, M-mode recording.
3.1.2. CPT 76826
CPT code 76826 covers a follow-up or repeat fetal echocardiography study, providing a continued assessment of the fetal heart over time.
3.1.3. CPT 76827
CPT code 76827 is designated for complete fetal Doppler echocardiography with spectral display, offering detailed insights into fetal blood flow.
3.1.4. CPT 76828
CPT code 76828 is for follow-up or repeat fetal Doppler echocardiography studies, allowing for ongoing monitoring of fetal heart conditions.
3.2. Color Flow Velocity Mapping
Color flow velocity mapping enhances the Doppler study by visually representing blood flow speed and direction.
3.2.1. CPT 93325
CPT code 93325 is an add-on code for Doppler echocardiography color flow velocity mapping. It must be reported in conjunction with primary echocardiography codes but not with CPT 93355.
3.3. Pulsed or Continuous Wave
This category includes codes for pulsed wave and continuous wave Doppler studies, which are essential for evaluating blood flow velocities in the heart.
3.3.1. CPT 93320
CPT code 93320 is used for complete pulsed wave and/or continuous wave Doppler echocardiography with spectral display. It’s reported in addition to primary echocardiography codes but not with CPT 93355.
3.3.2. CPT 93321
CPT code 93321 covers follow-up or limited study pulsed wave and/or continuous wave Doppler echocardiography. It’s also an add-on code and should not be used with CPT 93355.
4. Transesophageal Echocardiogram
Transesophageal echocardiography (TEE) provides detailed images of the heart by inserting a probe with a transducer down the esophagus. It’s particularly useful for examining the back parts of the heart, which may be difficult to view with transthoracic echocardiography.
4.1. CPT 93315
CPT code 93315 is used for transesophageal echocardiograms for congenital cardiac anomalies, including probe placement, image acquisition, interpretation, and reporting. It should not be reported in conjunction with CPT 93355.
4.2. CPT 93316
CPT code 93316 covers the placement of the transesophageal probe only, for congenital cardiac anomalies. This code is specific to the procedural aspect and also should not be used with CPT 93355.
4.3. CPT 93317
CPT code 93317 is for image acquisition, interpretation, and report only, in the context of transesophageal echocardiography for congenital cardiac anomalies. Like the other TEE codes, it is not compatible with CPT 93355.
4.4. CPT 93312
CPT code 93312 is designated for a complete transesophageal echocardiography procedure, including probe placement, image acquisition, interpretation, and reporting. It’s a comprehensive code that should not be used in conjunction with CPT 93355.
4.5. CPT 93313
CPT code 93313 covers the placement of the transesophageal probe only. Do not report 93313 in conjunction with 93355.
4.6. CPT 93314
CPT code 93314 is used for image acquisition, interpretation, and report only, in the context of transesophageal echocardiography. This code also should not be reported in conjunction with CPT 93355.
4.7. CPT 93318
CPT code 93318 is specific to transesophageal echocardiograms (TEE) for monitoring purposes. It includes probe placement and ongoing assessment of cardiac function. This code is not to be used with CPT 93355.
5. Transthoracic Echocardiography
Transthoracic echocardiography (TTE) is the most common type of echocardiography, involving a transducer placed on the chest to image the heart.
5.1. CPT 93306
CPT code 93306 is for a complete transthoracic echocardiography study, including 2D imaging, M-mode recording, spectral Doppler echocardiography, and color flow Doppler echocardiography. For studies without spectral and color Doppler, use CPT 93307 instead.
5.2. CPT 93307
CPT code 93307 covers a complete transthoracic echocardiography study without spectral or color Doppler echocardiography. It should not be reported in conjunction with CPT 93320, 93321, or 93325.
5.3. CPT 93308
CPT code 93308 is used for a follow-up or limited study of transthoracic echocardiography. It’s intended for periodic monitoring or when a complete study isn’t necessary.
5.4. CPT 93350
CPT code 93350 is designated for transthoracic echocardiography during rest and cardiovascular stress tests, including treadmill, bicycle exercise, or pharmacologically induced stress. It includes interpretation and reporting but should not be reported in conjunction with CPT 93015.
5.5. CPT 93351
CPT code 93351 expands on CPT 93350 by including continuous electrocardiographic monitoring, with supervision by a physician or other qualified healthcare professional. It should not be reported in conjunction with CPT codes 93015-93018 or 93350.
6. Specialty Echocardiogram procedures
These codes cover more specialized echocardiogram procedures, such as intracardiac and myocardial contrast perfusion echocardiography.
6.1. CPT 93662
CPT code 93662 is used for intracardiac echocardiograms during therapeutic or diagnostic interventions. It includes imaging supervision and interpretation and is reported in addition to the primary procedure code. This code should not be used with CPT 92961, 0569T, 0570T, or 0613T.
6.2. CPT 0439T
CPT code 0439T covers myocardial contrast perfusion echocardiography, either at rest or with stress, for the assessment of myocardial ischemia or viability. It’s an add-on code and should be used in conjunction with primary procedure codes like CPT 93306 or 93307.
7. Use of Contrast in Echocardiograms
Contrast agents can enhance the quality of echocardiography images, especially in cases where the heart’s structures are difficult to visualize.
7.1. CPT 93352
CPT code 93352 is for the use of an echocardiographic contrast agent during stress echocardiography. It’s an add-on code and should be reported in addition to the primary procedure codes, such as CPT 93350 or 93351. This code should not be reported more than once per stress echocardiogram.
