CPT code 93316: TEE probe placement, congenital cardiac anomalies2026 Medicare rate & RVUs in South Dakota

Reports transesophageal probe placement for congenital heart evaluation when the clinician placing the probe does not perform the imaging interpretation and report.

CMS RVU26DEffective Oct 1, 2026One payment locality45 Medicare services in 2024

In South Dakota, Medicare pays $23.27 for 93316 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$23.27Hospital or facility

Check a contract rate as a % of Medicare · 93316 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 93316 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 93316 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 93316 covers

This code represents the clinician’s work to advance and position a transesophageal echocardiography probe for evaluation of congenital cardiac anatomy. It is used when probe placement is performed as a distinct service, often in a procedural or operating-room setting, while image acquisition and the interpretation and report are handled separately. The service concerns positioning the probe, not the diagnostic findings from the resulting study.

Report it only when documentation supports probe placement for a congenital cardiac evaluation and identifies the clinician who performed that work. When one clinician performs the complete congenital TEE service, including placement, imaging, interpretation, and reporting, the complete-service code 93315 is the better fit. If another clinician performs the imaging and interpretation/report, code 93317 describes that separate portion. CMS fee-schedule payment for 93316 reflects the probe-placement service.

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 South Dakota compares for 93316

Across 109 of 109 payment localities, the facility rate for 93316 runs from $23.10 in Wisconsin to $33.68 in Alaska. South Dakota pays $23.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

93316 in South Dakota vs other payment areas
  1. South Dakota · this page$23.27
  2. Los Angeles, CA · California$25.18+$1.91
  3. Washington, DC area · District of Columbia$26.17+$2.90
  4. Miami, FL · Florida$27.06+$3.79
  5. Chicago, IL · Illinois$26.70+$3.43
  6. Manhattan, NY · New York$27.11+$3.84
  7. Alaska · Alaska$33.68+$10.41

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

93316 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$23.28
ArkansasArkansas—$23.15
ArizonaArizona—$24.05
Bakersfield, CACalifornia—$24.39
Chico, CACalifornia—$24.23
El Centro, CACalifornia—$24.24
Fresno, CACalifornia—$24.23
Hanford, CACalifornia—$24.23

93316 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
93316 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 93316 in every payment locality

How the 93316 rate is calculated

Each of 93316’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 · 93316

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense0.09

0.09 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

0.7300

Conversion factor

$33.4009

Medicare rate

$24.38

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,065

Code
93316
Physician work
0.59
Practice expense
0.09
Malpractice
0.05

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 93316 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense0.09× 1.0000.0900
Malpractice0.05× 0.3360.0168
Total RVUs0.6968
Conversion factor× 33.4009

Facility rate, South Dakota$23.27

Facility: (0.59 × 1 + 0.09 × 1 + 0.05 × 0.336) × $33.4009 = $23.27

Open 93316 in the RVU calculator

Payment rules and modifiers for 93316

93316 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 93316

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

93316 isn’t priced in this setting.

How 93316 has changed in South Dakota

93316 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$23.27RVU26D
2026-07-01Not available in this setting$23.27RVU26C
2026-04-01Not available in this setting$23.27RVU26B
2026-01-01Not available in this setting$23.27RVU26A
2025-10-01Not available in this setting$23.46RVU25D
2025-07-01Not available in this setting$23.46RVU25C
2025-04-01Not available in this setting$23.46RVU25B
2025-01-01Not available in this setting$23.46RVU25A
2024-10-01Not available in this setting$24.27RVU24D
2024-07-01Not available in this setting$24.27RVU24C
2024-04-01Not available in this setting$24.27RVU24B
2024-03-09Not available in this setting$24.27RVU24AR
2024-01-01Not available in this setting$23.87RVU24A
2023-10-01Not available in this setting$24.55RVU23D
2023-07-01Not available in this setting$24.55RVU23C
2023-04-01Not available in this setting$24.55RVU23B
2023-01-01Not available in this setting$24.55RVU23A
2022-10-01Not available in this setting$25.17RVU22D
2022-07-01Not available in this setting$25.17RVU22C
2022-04-01Not available in this setting$25.17RVU22B
2022-01-01Not available in this setting$25.17RVU22A
2021-10-01Not available in this setting$26.43RVU21D
2021-07-01Not available in this setting$26.43RVU21C
2021-04-01Not available in this setting$26.43RVU21B
2021-01-01Not available in this setting$26.43RVU21A
2020-10-01Not available in this setting$27.01RVU20D
2020-07-01Not available in this setting$27.01RVU20C
2020-04-01Not available in this setting$27.01RVU20B
2020-01-01Not available in this setting$27.01RVU20A
2019-10-01Not available in this setting$27.37RVU19D
2019-07-01Not available in this setting$27.37RVU19C
2019-04-01Not available in this setting$27.37RVU19B
2019-01-01Not available in this setting$27.37RVU19A
2018-10-01Not available in this setting$26.98RVU18D
2018-07-01Not available in this setting$26.98RVU18C
2018-04-01Not available in this setting$26.98RVU18B
2018-01-01Not available in this setting$26.98RVU18AR1
2017-10-01Not available in this setting$26.55RVU17D
2017-07-01Not available in this setting$26.55RVU17C
2017-04-01Not available in this setting$26.55RVU17B
2017-01-01Not available in this setting$26.55RVU17A
2016-10-01Not available in this setting$37.52RVU16D
2016-07-01Not available in this setting$37.52RVU16C
2016-04-01Not available in this setting$37.52RVU16B
2016-01-01Not available in this setting$37.52RVU16A
2015-10-01Not available in this setting$37.51RVU15D
2015-07-01Not available in this setting$37.51RVU15C
2015-04-01Not available in this setting$37.33RVU15B
2015-01-01Not available in this setting$37.33RVU15A
2014-10-01Not available in this setting$41.88RVU14D
2014-07-01Not available in this setting$41.88RVU14C
2014-04-01Not available in this setting$41.88RVU14B
2014-01-01Not available in this setting$41.88RVU14A
2013-10-01Not available in this setting$40.50RVU13D
2013-07-01Not available in this setting$40.50RVU13C
2013-04-01Not available in this setting$40.50RVU13B
2013-01-01Not available in this setting$40.50RVU13AR

Price 93316 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

93316 billing questions

When should 93316 be used instead of 93315?

Use 93316 for probe placement alone in a congenital cardiac evaluation. When the same clinician also acquires the images and provides the interpretation and report, use the complete-service code 93315.

Can 93316 be reported with 93317?

They represent separate portions of a congenital TEE when the work is divided: 93316 for probe placement and 93317 for image acquisition, interpretation, and report. Documentation should support each clinician’s work.

How does 93316 differ from 93313?

Both describe probe placement alone, but 93316 is for congenital cardiac evaluations. Code 93313 is the corresponding probe-placement code for other TEE examinations.

What documentation supports 93316?

Document the congenital cardiac indication and the clinician’s probe-placement service. The record should distinguish that work from image acquisition and the interpretation and report.

Does 93316 include the echocardiographic interpretation?

No. It represents probe placement only; image acquisition and interpretation with a report are described separately by 93317 for congenital cardiac evaluations.

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 93316PPRRVU2026_Oct_nonQPP.csv, line 12,065 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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