CPT code 93315: Congenital TEE, complete service2026 Medicare rate & RVUs

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

What 93315 covers

This code represents a complete transesophageal echocardiography (TEE) examination directed at congenital cardiac abnormalities. A flexible ultrasound probe is passed into the esophagus to image the heart from close range; the service includes probe placement, image acquisition, physician interpretation, and a written report. Cardiologists and other qualified physicians report it when detailed cardiac anatomy is needed, often in hospital-based diagnostic or procedural care. It is distinct from intraoperative TEE monitoring and from a standard TEE performed for indications outside congenital cardiac anomalies.

Medicare assigns physician fee schedule status C, or carrier priced: CMS publishes no national payment amount, and the Medicare Administrative Contractor sets payment for each claim. For this diagnostic test, the professional interpretation may be billed with modifier 26 and the technical service with modifier TC; billing without either modifier represents the global service. The code represents the complete congenital TEE service, rather than probe placement alone or image acquisition and reporting alone.

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 93315 pays more and less

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

109 of 109 payment localities

93315 rates by state

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

How the 93315 rate is calculated

Each of 93315’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.

Payment rules and modifiers for 93315

The CMS indicators that decide how 93315 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93315 compared with similar codes

How to choose

93312Transesophageal echoComplete service

Both describe complete TEE services. Choose 93315 when the examination is focused on congenital cardiac anomalies; 93312 is the complete TEE code for other indications.

93316TEE probe placementCongenital cardiac anomalies

93316 covers probe placement only for congenital TEE. Code 93315 represents the complete service, including imaging and interpretation.

93317Congenital TEEImaging and report

93317 covers image acquisition, interpretation, and reporting for congenital TEE without probe placement. Code 93315 represents the complete service.

93318Intraoperative TEEMonitoring purpose

93318 is for intraoperative TEE monitoring. Code 93315 describes a complete congenital TEE examination rather than intraoperative monitoring.

Codes related to 93315

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates