CPT code 93308: Echocardiogram, follow-up or limited study2026 Medicare rate & RVUs

Reports a focused or follow-up transthoracic echocardiogram when the clinical question calls for a limited assessment rather than a complete examination.

CMS RVU26DEffective Oct 1, 2026109 payment localities584.5K Medicare services in 2024

Medicare pays $101.20 for 93308 nationally in the office. Local office rates run $88.92–$138.96.

Medicare rate · 93308

Echocardiogram, follow-up or limited study

Office or facility?

Work RVUs
0.52
Total RVUs
3.03
Global days
XXX

National rate · 2026

$101.20

Office setting, before claim adjustments.

See every locality for 93308 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93308 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93308 covers

This service is a focused ultrasound examination of the heart through the chest, using two-dimensional imaging and M-mode when performed. A sonographer typically acquires the images in an office, hospital, or outpatient imaging department, and a qualified physician interprets the study. Common reasons include reassessing a known pericardial effusion or checking ventricular function after a prior study when only a specific question needs evaluation.

Choose this code when the documented examination is limited or performed as follow-up, rather than a complete transthoracic study. The record should support the clinical question, the focused scope of the examination, and the interpretation of the images. Doppler services, when performed and reported, use the applicable Doppler codes. The service may be billed globally, or split into the professional interpretation with modifier 26 and the equipment-and-staff technical component with modifier TC. 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.

Where 93308 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$88.92 to $138.96

$88.92$113.94$138.96
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

93308 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$90.31Unavailable
Alaska$114.65Unavailable
Arizona$98.45Unavailable
Arkansas$88.92Unavailable
Atlanta, GA$102.85Unavailable
Austin, TX$105.87Unavailable
Bakersfield, CA$108.93Unavailable
Baltimore area, MD$107.82Unavailable
Beaumont, TX$93.68Unavailable
Brazoria, TX$100.31Unavailable

93308 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.

$88.92

$123.88

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

View every state and territory as a table
93308 office rate range by state
State / territoryOffice rate rangeLocalities
AK$114.651
AL$90.311
AR$88.921
AZ$98.451
CA$108.80–$138.9629
CO$106.401
CT$108.191
DC$116.981
DE$100.171
FL$98.25–$106.633
GA$92.55–$102.852
GU$111.941
HI$111.941
IA$93.391
ID$93.901
IL$94.78–$104.594
IN$94.501
KS$92.621
KY$91.931
LA$91.66–$96.522
MA$105.58–$117.772
MD$102.26–$116.983
ME$94.10–$99.972
MI$94.20–$99.232
MN$102.661
MO$89.78–$97.253
MS$89.391
MT$101.201
NC$95.191
ND$100.411
NE$94.021
NH$104.421
NJ$109.62–$115.592
NM$94.631
NV$101.061
NY$96.68–$119.055
OH$94.041
OK$92.081
OR$100.48–$110.302
PA$94.37–$105.162
PR$102.091
RI$104.111
SC$94.731
SD$100.321
TN$93.081
TX$93.68–$105.878
UT$96.121
VA$99.41–$116.982
VI$102.091
VT$99.721
WA$105.48–$120.562
WI$96.821
WV$90.971
WY$100.861

How the 93308 rate is calculated

Each of 93308’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 · 93308

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.52

0.52 RVUs× 1.000 GPCI

Practice expense2.47

2.47 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

3.0300

Conversion factor

$33.4009

Medicare rate

$101.20

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

Payment rules and modifiers for 93308

The CMS indicators that decide how 93308 is paid alongside other services.

CMS payment indicators · 93308

Echocardiogram, follow-up or limited 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

93308 without 26 · national office

$101.20

Echocardiogram, follow-up or limited study

93308-26 · Professional component

$24.72

Pays only the interpretation and report.

When to use modifier 26

93308 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93308

    Echocardiogram, follow-up or limited study0.52 wRVU

    $101.20

  • 93307

    Transthoracic echo, complete, without Doppler0.9 wRVU

    $137.95+$36.75

  • 93306

    Echocardiogram (TTE), complete, with spectral and color Doppler1.42 wRVU

    $196.73+$95.53

  • 93304

    Transthoracic echo, congenital, limited or follow-up0.73 wRVU

    $153.64+$52.44

How to choose

93307Transthoracic echoComplete, without Doppler
93307 represents a complete transthoracic examination without Doppler. Choose 93308 when the study is limited or a follow-up focused on a specific question.
93306Echocardiogram (TTE)Complete, with spectral and color Doppler
93306 represents a complete transthoracic examination with Doppler and color flow imaging. 93308 describes a limited or follow-up study, with Doppler services represented separately when performed.
93304Transthoracic echoCongenital, limited or follow-up
93304 is the limited or follow-up transthoracic study for congenital cardiac disease; 93308 is used for the corresponding non-congenital study.

93308 billing questions

How does 93308 differ from a complete transthoracic study?

93308 is for a focused or follow-up examination addressing a limited clinical question. Use a complete-study code when the examination covers the full scope of a complete transthoracic study.

Can Doppler services be reported with 93308?

Yes, when Doppler assessment is performed and documented, report the applicable Doppler code, such as 93321 for a limited or follow-up Doppler study. Color flow mapping may be reported with 93325 when performed.

When should modifier 26 or TC be used?

Use modifier 26 for the physician's interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports choosing 93308?

Document the reason for the focused or follow-up examination, the specific cardiac question assessed, the images and findings, and the interpreting physician's conclusion.

Which part of the service is subject to the cardiovascular multiple procedure reduction?

CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component of 93308.

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 93308PPRRVU2026_Oct_nonQPP.csv, line 12,052 (RVU26D)

Open CMS sourceHow we calculate rates

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