CPT code 93315: Congenital TEE, complete service2026 Medicare rate & RVUs in Missouri
Reports a complete transesophageal echocardiographic examination for congenital cardiac anomalies, including probe placement, image acquisition, interpretation, and report.
CMS doesn’t publish an office rate for 93315 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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.
How the rate is built · 93315
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93315
The CMS indicators that decide how 93315 is paid alongside other services.
CMS payment indicators · 93315
Congenital TEE, complete service
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93315 without 26 · national facility
$0.00
Congenital TEE, complete service
93315-26 · Professional component
$123.58
Pays only the interpretation and report.
93315 compared with similar codes
Compare codes · National
5 codes, side by side
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.
93315 billing questions
When should 93315 be chosen over 93312?
Use 93315 for a complete TEE examination focused on congenital cardiac anomalies. Code 93312 describes a complete TEE for other indications.
How do 93316 and 93317 differ from 93315?
93316 represents probe placement only, while 93317 represents image acquisition, interpretation, and reporting only. Code 93315 represents the complete congenital TEE service.
Which modifiers identify the professional and technical portions?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion, including equipment and staff. Without either modifier, 93315 represents the global service.
Is 93315 the code for intraoperative TEE monitoring?
No. Code 93315 describes a complete TEE focused on congenital cardiac anomalies; 93318 is used for intraoperative TEE monitoring.
How does Medicare price 93315?
Medicare assigns status C, or carrier priced. CMS publishes no national payment amount; the Medicare Administrative Contractor sets payment for each claim.
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
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