CPT code 93317: Congenital TEE, imaging and report2026 Medicare rate & RVUs in California

Reports image acquisition, physician interpretation, and a written report for transesophageal echocardiography performed to evaluate congenital cardiac anomalies.

CMS RVU26DEffective Oct 1, 202629 payment localities211 Medicare services in 2024

CMS doesn’t publish an office rate for 93317 in California.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What 93317 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 93317 covers

This code represents the imaging, interpretation, and reporting portion of a transesophageal echocardiographic study focused on congenital cardiac anomalies. A cardiologist or other qualified physician interprets the ultrasound images and documents findings; the images are acquired using an ultrasound probe positioned in the esophagus. It is distinct from the complete congenital TEE service, which includes probe placement, and from a code limited to probe placement.

Medicare assigns this CPT code physician fee schedule status C, meaning the Medicare Administrative Contractor prices each claim rather than CMS publishing a national payment amount. The study has professional and technical components: modifier 26 identifies interpretation, while modifier TC identifies the equipment and staff portion; without either modifier, the code represents the global service. The code describes diagnostic imaging, not intraoperative TEE monitoring.

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 93317 pays more and less in California

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

29 of 29 payment localities

93317 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 93317 rate is calculated

Each of 93317’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 · 93317

RVUs × geographic indexes × conversion factor

Office or facility?

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 93317

The CMS indicators that decide how 93317 is paid alongside other services.

CMS payment indicators · 93317

Congenital TEE, imaging and report

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

93317 without 26 · national facility

$0.00

Congenital TEE, imaging and report

93317-26 · Professional component

$85.84

Pays only the interpretation and report.

When to use modifier 26

93317 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93317

    Congenital TEE, imaging and report0 wRVU

    Not priced

  • 93315

    Congenital TEE, complete service0 wRVU

    Not priced

  • 93316

    TEE probe placement, congenital cardiac anomalies0.59 wRVU

    Not priced

  • 93314

    TEE, without probe placement1.8 wRVU

    $231.47

  • 93318

    Intraoperative TEE, monitoring purpose0 wRVU

    Not priced

How to choose

93315Congenital TEEComplete service
Code 93315 describes the complete congenital TEE service, including probe placement. This code covers imaging, interpretation, and reporting only.
93316TEE probe placementCongenital cardiac anomalies
Code 93316 is limited to probe placement for congenital TEE; this code covers the imaging, interpretation, and report portion.
93314TEEWithout probe placement
Both describe imaging, interpretation, and reporting without probe placement, but 93314 is for TEE outside the congenital cardiac anomaly service.
93318Intraoperative TEEMonitoring purpose
Code 93318 is for intraoperative TEE monitoring; this code describes a diagnostic congenital TEE study.

93317 billing questions

When should this code be chosen instead of 93315?

Use this code for the image acquisition, interpretation, and report portion of a congenital TEE. Code 93315 represents the complete service, including probe placement.

How does this code differ from 93316?

Code 93316 reports probe placement only for congenital TEE. This code covers image acquisition, interpretation, and the report.

Which modifiers identify the separate components?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Reporting the code without either modifier represents the global service.

How does Medicare price this code?

Its physician fee schedule status is C. The Medicare Administrative Contractor sets payment for each claim; CMS publishes no national payment amount for it.

Is this the code for intraoperative TEE monitoring?

No. This code describes diagnostic congenital TEE imaging and interpretation. Code 93318 is for TEE performed for intraoperative monitoring.

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

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