CPT code 93303: Congenital echo, complete transthoracic study2026 Medicare rate & RVUs in New Mexico

A complete transthoracic echocardiogram evaluates congenital heart abnormalities, such as septal defects or abnormal valve anatomy, using ultrasound imaging.

CMS RVU26DEffective Oct 1, 2026One payment locality12K Medicare services in 2024

In New Mexico, Medicare pays $206.33 for 93303 in the office.

$206.33Office (non-facility)
Not available in this settingHospital or facility
−6.4%vs the national office rate ($220.45)

Check a contract rate as a % of Medicare · 93303 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93303 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 93303 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93303 covers

This study uses an ultrasound probe on the chest to assess heart structure and function when congenital cardiac anatomy is present or suspected. A cardiologist or other qualified clinician interprets the images; the technical service is generally performed by trained cardiac sonography staff in a hospital, clinic, or imaging practice. It may be used for initial assessment or ongoing evaluation of congenital heart disease in children or adults.

Select this code for a complete transthoracic study focused on congenital cardiac abnormalities, rather than a limited follow-up examination or a standard study for acquired heart disease. The report should support the congenital indication and document a complete examination and interpretation. Bill the global service without a component modifier, or use modifier 26 for interpretation or TC for equipment and staff when those components are billed separately. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 93303

Across 109 of 109 payment localities, the office rate for 93303 runs from $194.54 in Arkansas to $301.68 in San Benito County, CA. New Mexico pays $206.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

93303 in New Mexico vs other payment areas
  1. New Mexico · this page$206.33
  2. Los Angeles, CA · California$253.55+$47.22
  3. Washington, DC area · District of Columbia$254.27+$47.94
  4. Miami, FL · Florida$231.22+$24.89
  5. Chicago, IL · Illinois$224.65+$18.32
  6. Manhattan, NY · New York$252.99+$46.66
  7. Alaska · Alaska$252.03+$45.70

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

93303 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$197.47—
ArkansasArkansas$194.54—
ArizonaArizona$214.66—
Bakersfield, CACalifornia$237.20—
Chico, CACalifornia$236.95—
El Centro, CACalifornia$236.96—
Fresno, CACalifornia$236.95—
Hanford, CACalifornia$236.95—

93303 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$194.54

$269.32

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93303 office rate range by state
State / territoryOffice rate rangeLocalities
AK$252.031
AL$197.471
AR$194.541
AZ$214.661
CA$236.95–$301.6829
CO$231.691
CT$235.311
DC$254.271
DE$218.311
FL$213.89–$231.223
GA$201.92–$223.852
GU$243.531
HI$243.531
IA$204.101
ID$205.161
IL$206.48–$227.294
IN$206.421
KS$202.421
KY$200.751
LA$200.14–$210.402
MA$229.96–$256.012
MD$222.79–$254.273
ME$205.51–$218.002
MI$205.46–$215.902
MN$223.891
MO$196.14–$212.023
MS$195.411
MT$220.441
NC$207.831
ND$219.061
NE$205.461
NH$227.361
NJ$238.53–$251.392
NM$206.331
NV$220.231
NY$210.97–$258.375
OH$205.181
OK$201.131
OR$219.05–$240.032
PA$205.91–$228.862
PR$222.341
RI$226.801
SC$206.741
SD$218.891
TN$203.381
TX$204.47–$230.458
UT$209.671
VA$216.77–$254.272
VI$222.341
VT$217.531
WA$229.75–$262.022
WI$211.451
WV$198.441
WY$219.841

See 93303 in every payment locality

How the 93303 rate is calculated

Each of 93303’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93303

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.27

1.27 RVUs× 1.000 GPCI

Practice expense5.26

5.26 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

6.6000

Conversion factor

$33.4009

Medicare rate

$220.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,040

Code
93303
Physician work
1.27
Practice expense
5.26
Malpractice
0.07

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 93303 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0001.2700
Practice expense5.26× 0.9174.8234
Malpractice0.07× 1.2010.0841
Total RVUs6.1775
Conversion factor× 33.4009

Office rate, New Mexico$206.33

Office: (1.27 × 1 + 5.26 × 0.917 + 0.07 × 1.201) × $33.4009 = $206.33

Open 93303 in the RVU calculator

Payment rules and modifiers for 93303

The CMS indicators that decide how 93303 is paid alongside other services.

CMS payment indicators · 93303

Congenital echo, complete transthoracic study

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93303 without 26 · national office

$220.45

Congenital echo, complete transthoracic study

93303-26 · Professional component

$60.12

Pays only the interpretation and report.

When to use modifier 26

How 93303 has changed in New Mexico

93303 · Office / nonfacility

$206.33

Effective 2026-10-01

The base rate is $12.42 higher than on 2025-10-01, moving from $193.91 to $206.33 (6.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $193.91changed to$206.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.30 changed to 1.27
    • Practice expense RVU 5.08 changed to 5.26
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $203.48changed to$193.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.21 changed to 5.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $200.16changed to$203.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $206.47changed to$200.16

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $212.37changed to$206.47

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.32 changed to 5.21
    • Malpractice RVU 0.06 changed to 0.08
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $218.50changed to$212.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.46 changed to 5.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $220.69changed to$218.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.21 changed to 5.46
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $225.25changed to$220.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.28 changed to 5.21
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $231.63changed to$225.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.48 changed to 5.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $225.33changed to$231.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.32 changed to 5.48
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $225.82changed to$225.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.36 changed to 5.32
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $225.23changed to$225.82

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.33 changed to 5.36
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $224.11changed to$225.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $223.78changed to$224.11

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $184.92changed to$223.78

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.46 changed to 5.33
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $184.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$206.33Not available in this settingRVU26D
2026-07-01$206.33Not available in this settingRVU26C
2026-04-01$206.33Not available in this settingRVU26B
2026-01-01$206.33Not available in this settingRVU26A
2025-10-01$193.91Not available in this settingRVU25D
2025-07-01$193.91Not available in this settingRVU25C
2025-04-01$193.91Not available in this settingRVU25B
2025-01-01$193.91Not available in this settingRVU25A
2024-10-01$203.48Not available in this settingRVU24D
2024-07-01$203.48Not available in this settingRVU24C
2024-04-01$203.48Not available in this settingRVU24B
2024-03-09$203.48Not available in this settingRVU24AR
2024-01-01$200.16Not available in this settingRVU24A
2023-10-01$206.47Not available in this settingRVU23D
2023-07-01$206.47Not available in this settingRVU23C
2023-04-01$206.47Not available in this settingRVU23B
2023-01-01$206.47Not available in this settingRVU23A
2022-10-01$212.37Not available in this settingRVU22D
2022-07-01$212.37Not available in this settingRVU22C
2022-04-01$212.37Not available in this settingRVU22B
2022-01-01$212.37Not available in this settingRVU22A
2021-10-01$218.50Not available in this settingRVU21D
2021-07-01$218.50Not available in this settingRVU21C
2021-04-01$218.50Not available in this settingRVU21B
2021-01-01$218.50Not available in this settingRVU21A
2020-10-01$220.69Not available in this settingRVU20D
2020-07-01$220.69Not available in this settingRVU20C
2020-04-01$220.69Not available in this settingRVU20B
2020-01-01$220.69Not available in this settingRVU20A
2019-10-01$225.25Not available in this settingRVU19D
2019-07-01$225.25Not available in this settingRVU19C
2019-04-01$225.25Not available in this settingRVU19B
2019-01-01$225.25Not available in this settingRVU19A
2018-10-01$231.63Not available in this settingRVU18D
2018-07-01$231.63Not available in this settingRVU18C
2018-04-01$231.63Not available in this settingRVU18B
2018-01-01$231.63Not available in this settingRVU18AR1
2017-10-01$225.33Not available in this settingRVU17D
2017-07-01$225.33Not available in this settingRVU17C
2017-04-01$225.33Not available in this settingRVU17B
2017-01-01$225.33Not available in this settingRVU17A
2016-10-01$225.82Not available in this settingRVU16D
2016-07-01$225.82Not available in this settingRVU16C
2016-04-01$225.82Not available in this settingRVU16B
2016-01-01$225.82Not available in this settingRVU16A
2015-10-01$225.23Not available in this settingRVU15D
2015-07-01$225.23Not available in this settingRVU15C
2015-04-01$224.11Not available in this settingRVU15B
2015-01-01$224.11Not available in this settingRVU15A
2014-10-01$223.78Not available in this settingRVU14D
2014-07-01$223.78Not available in this settingRVU14C
2014-04-01$223.78Not available in this settingRVU14B
2014-01-01$223.78Not available in this settingRVU14A
2013-10-01$184.92Not available in this settingRVU13D
2013-07-01$184.92Not available in this settingRVU13C
2013-04-01$184.92Not available in this settingRVU13B
2013-01-01$184.92Not available in this settingRVU13AR

Price 93303 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

93303 billing questions

When should this code be used instead of 93306?

Use this code for a complete transthoracic study evaluating congenital cardiac abnormalities. Code 93306 describes a complete standard transthoracic study with Doppler and is not the congenital-specific choice.

How does this differ from 93304?

This code represents a complete congenital transthoracic examination. Code 93304 is for a limited or follow-up congenital study.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

Which part is subject to the cardiovascular diagnostic multiple procedure reduction?

The technical component is subject to the reduction. CMS applies the reduction to the technical component.

What documentation supports reporting the complete study?

Document the congenital cardiac indication, the complete transthoracic examination performed, and the interpreting clinician’s findings. A limited follow-up examination should be distinguished from a complete study.

Can Doppler services be reported with this study?

Codes 93320 and 93325 describe spectral Doppler and color-flow mapping services that may accompany congenital echocardiography when performed and separately documented.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93303PPRRVU2026_Oct_nonQPP.csv, line 12,040 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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