CPT code 93355: TEE guidance, transcatheter structural intervention2026 Medicare rate & RVUs in Montana
Real-time transesophageal echocardiography guides a transcatheter structural heart intervention and documents device position, anatomy, and procedural findings.
In Montana, Medicare pays $192.03 for 93355 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 93355 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 93355 covers
During a transcatheter structural heart procedure, a cardiologist with echocardiography expertise uses an esophageal probe to guide device placement and assess the result in real time. Common settings include a catheterization laboratory or hybrid operating room for procedures such as transcatheter aortic valve replacement, transcatheter mitral repair, or left atrial appendage closure. The service includes image acquisition, interpretation, reporting, and real-time 3D imaging; it is not the catheter-based repair or implantation itself.
Report 93355 for TEE performed to guide the transcatheter intervention. Documentation should identify the intervention, describe the imaging used to guide it, and record relevant anatomy, device position, findings, and the interpretation. Distinguish procedural guidance from a diagnostic TEE performed to evaluate a clinical question and from TEE during open cardiac surgery. CMS physician fee schedule valuation includes physician work, practice expense, and malpractice RVUs.
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 Montana compares for 93355
Across 109 of 109 payment localities, the facility rate for 93355 runs from $182.45 in Arkansas to $264.67 in Alaska. Montana pays $192.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$192.03
- Los Angeles, CA · California$199.77+$7.74
- Washington, DC area · District of Columbia$206.70+$14.67
- Miami, FL · Florida$210.61+$18.58
- Chicago, IL · Illinois$207.97+$15.94
- Manhattan, NY · New York$213.12+$21.09
- Alaska · Alaska$264.67+$72.64
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $183.49 |
| ArkansasArkansas | — | $182.45 |
| ArizonaArizona | — | $189.52 |
| Bakersfield, CACalifornia | — | $193.29 |
| Chico, CACalifornia | — | $192.15 |
| El Centro, CACalifornia | — | $192.21 |
| Fresno, CACalifornia | — | $192.15 |
| Hanford, CACalifornia | — | $192.15 |
| Madera, CACalifornia | — | $192.15 |
| Merced, CACalifornia | — | $192.15 |
| Modesto, CACalifornia | — | $192.15 |
| Napa, CACalifornia | — | $205.26 |
| Oxnard, CACalifornia | — | $197.31 |
| Redding, CACalifornia | — | $192.15 |
| Rest of CaliforniaCalifornia | — | $192.15 |
| Riverside, CACalifornia | — | $195.90 |
| Sacramento, CACalifornia | — | $196.98 |
| Salinas, CACalifornia | — | $196.11 |
| San Diego, CACalifornia | — | $197.10 |
| Marin County, CACalifornia | — | $212.23 |
| San Francisco, CACalifornia | — | $211.85 |
| San Benito County, CACalifornia | — | $216.31 |
| Santa Clara County, CACalifornia | — | $214.73 |
| San Luis Obispo, CACalifornia | — | $193.40 |
| Santa Cruz, CACalifornia | — | $196.22 |
| Santa Maria, CACalifornia | — | $195.86 |
| Santa Rosa, CACalifornia | — | $197.96 |
| Stockton, CACalifornia | — | $192.15 |
| Vallejo, CACalifornia | — | $204.71 |
| Visalia, CACalifornia | — | $192.15 |
| Yuba City, CACalifornia | — | $192.15 |
| ColoradoColorado | — | $193.25 |
| ConnecticutConnecticut | — | $199.71 |
| DelawareDelaware | — | $191.32 |
| Fort Lauderdale, FLFlorida | — | $201.61 |
| Rest of FloridaFlorida | — | $196.49 |
| Atlanta, GAGeorgia | — | $195.26 |
| Rest of GeorgiaGeorgia | — | $191.10 |
| Hawaii, Guam, HIHawaii | — | $191.26 |
| IowaIowa | — | $182.74 |
| IdahoIdaho | — | $183.75 |
| East St. Louis, ILIllinois | — | $201.25 |
| Rest of IllinoisIllinois | — | $195.92 |
| Suburban Chicago, ILIllinois | — | $202.67 |
| IndianaIndiana | — | $184.10 |
| KansasKansas | — | $183.63 |
| KentuckyKentucky | — | $187.86 |
| New Orleans, LALouisiana | — | $191.89 |
| Rest of LouisianaLouisiana | — | $188.24 |
| Metropolitan Boston, MAMassachusetts | — | $202.66 |
| Rest of MassachusettsMassachusetts | — | $193.72 |
| Baltimore area, MDMaryland | — | $199.29 |
| Rest of MarylandMaryland | — | $192.99 |
| Rest of MaineMaine | — | $185.44 |
| Southern Maine, MEMaine | — | $187.60 |
| Detroit, MIMichigan | — | $198.83 |
| Rest of MichiganMichigan | — | $190.99 |
| MinnesotaMinnesota | — | $184.90 |
| Metropolitan Kansas City, MOMissouri | — | $190.02 |
| Metropolitan St. Louis, MOMissouri | — | $190.68 |
| Rest of MissouriMissouri | — | $187.75 |
| MississippiMississippi | — | $185.05 |
| North CarolinaNorth Carolina | — | $186.01 |
| North DakotaNorth Dakota | — | $185.31 |
| NebraskaNebraska | — | $182.75 |
| New HampshireNew Hampshire | — | $191.83 |
| Northern New JerseyNew Jersey | — | $207.03 |
| Rest of New JerseyNew Jersey | — | $201.90 |
| New MexicoNew Mexico | — | $191.93 |
| NevadaNevada | — | $190.19 |
| NYC suburbs and Long Island, NYNew York | — | $216.98 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $204.02 |
| Queens, NYNew York | — | $212.07 |
| Rest of New YorkNew York | — | $187.23 |
| OhioOhio | — | $189.62 |
| OklahomaOklahoma | — | $186.41 |
| Portland, OROregon | — | $194.80 |
| Rest of OregonOregon | — | $188.57 |
| Metropolitan Philadelphia, PAPennsylvania | — | $198.17 |
| Rest of PennsylvaniaPennsylvania | — | $189.05 |
| Puerto RicoPuerto Rico | — | $192.20 |
| Rhode IslandRhode Island | — | $194.67 |
| South CarolinaSouth Carolina | — | $188.14 |
| South DakotaSouth Dakota | — | $184.51 |
| TennesseeTennessee | — | $184.15 |
| Austin, TXTexas | — | $192.75 |
| Beaumont, TXTexas | — | $188.63 |
| Brazoria, TXTexas | — | $190.51 |
| Dallas, TXTexas | — | $191.69 |
| Fort Worth, TXTexas | — | $191.55 |
| Galveston, TXTexas | — | $191.11 |
| Houston, TXTexas | — | $197.33 |
| Rest of TexasTexas | — | $189.47 |
| UtahUtah | — | $189.15 |
| VirginiaVirginia | — | $188.22 |
| Virgin Islands, VIUnited States Virgin Islands | — | $192.20 |
| VermontVermont | — | $186.15 |
| Rest of WashingtonWashington | — | $192.85 |
| King County, WAWashington | — | $204.16 |
| WisconsinWisconsin | — | $182.98 |
| West VirginiaWest Virginia | — | $193.14 |
| WyomingWyoming | — | $189.10 |
93355 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 93355 rate is calculated
Each of 93355’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 · 93355
RVUs × geographic indexes × conversion factor
Work4.54
4.54 RVUs× 1.000 GPCI
Practice expense0.87
0.87 RVUs× 1.000 GPCI
Malpractice0.34
0.34 RVUs× 1.000 GPCI
Adjusted RVUs
5.7500
Conversion factor
$33.4009
Medicare rate
$192.06
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,089
- Code
- 93355
- Physician work
- 4.54
- Practice expense
- 0.87
- Malpractice
- 0.34
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.54 | × 1.000 | 4.5400 |
| Practice expense | 0.87 | × 1.000 | 0.8700 |
| Malpractice | 0.34 | × 0.998 | 0.3393 |
| Total RVUs | 5.7493 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$192.03
Facility: (4.54 × 1 + 0.87 × 1 + 0.34 × 0.998) × $33.4009 = $192.03
Payment rules and modifiers for 93355
93355 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 · 93355
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
93355 isn’t priced in this setting.
How 93355 has changed in Montana
93355 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2016
RVU16A
$233.65changed toNo rate
Held through RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
July 1, 2015
RVU15C
$232.49changed to$233.65
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$232.49
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $192.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $192.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $192.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $192.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $213.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $213.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $213.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $213.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $218.79 | RVU24D |
| 2024-07-01 | Not available in this setting | $218.79 | RVU24C |
| 2024-04-01 | Not available in this setting | $218.79 | RVU24B |
| 2024-03-09 | Not available in this setting | $218.79 | RVU24AR |
| 2024-01-01 | Not available in this setting | $215.22 | RVU24A |
| 2023-10-01 | Not available in this setting | $222.41 | RVU23D |
| 2023-07-01 | Not available in this setting | $222.41 | RVU23C |
| 2023-04-01 | Not available in this setting | $222.41 | RVU23B |
| 2023-01-01 | Not available in this setting | $222.41 | RVU23A |
| 2022-10-01 | Not available in this setting | $228.83 | RVU22D |
| 2022-07-01 | Not available in this setting | $228.83 | RVU22C |
| 2022-04-01 | Not available in this setting | $228.83 | RVU22B |
| 2022-01-01 | Not available in this setting | $228.83 | RVU22A |
| 2021-10-01 | Not available in this setting | $230.39 | RVU21D |
| 2021-07-01 | Not available in this setting | $230.39 | RVU21C |
| 2021-04-01 | Not available in this setting | $230.39 | RVU21B |
| 2021-01-01 | Not available in this setting | $230.39 | RVU21A |
| 2020-10-01 | Not available in this setting | $240.98 | RVU20D |
| 2020-07-01 | Not available in this setting | $240.98 | RVU20C |
| 2020-04-01 | Not available in this setting | $240.98 | RVU20B |
| 2020-01-01 | Not available in this setting | $240.98 | RVU20A |
| 2019-10-01 | Not available in this setting | $243.83 | RVU19D |
| 2019-07-01 | Not available in this setting | $243.83 | RVU19C |
| 2019-04-01 | Not available in this setting | $243.83 | RVU19B |
| 2019-01-01 | Not available in this setting | $243.83 | RVU19A |
| 2018-10-01 | Not available in this setting | $240.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $240.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $240.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $240.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $237.13 | RVU17D |
| 2017-07-01 | Not available in this setting | $237.13 | RVU17C |
| 2017-04-01 | Not available in this setting | $237.13 | RVU17B |
| 2017-01-01 | Not available in this setting | $237.13 | RVU17A |
| 2016-10-01 | Not available in this setting | $232.81 | RVU16D |
| 2016-07-01 | Not available in this setting | $232.81 | RVU16C |
| 2016-04-01 | Not available in this setting | $232.81 | RVU16B |
| 2016-01-01 | Not available in this setting | $232.81 | RVU16A |
| 2015-10-01 | $233.65 | $233.65 | RVU15D |
| 2015-07-01 | $233.65 | $233.65 | RVU15C |
| 2015-04-01 | $232.49 | $232.49 | RVU15B |
| 2015-01-01 | $232.49 | $232.49 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
93355 billing questions
How does 93355 differ from 93312?
93355 is for real-time TEE guidance during a transcatheter structural intervention. 93312 describes a diagnostic TEE service rather than procedural guidance.
Does 93355 include the structural heart procedure?
No. It represents the TEE guidance service, not the valve repair, device closure, or other catheter-based intervention.
Is real-time 3D imaging part of 93355?
Yes. The service includes real-time 3D imaging, along with image acquisition, interpretation, and reporting.
What documentation supports reporting 93355?
Document the transcatheter intervention being guided, the imaging used during the procedure, relevant anatomy and device position, procedural findings, and the interpreting provider’s report.
How does 93355 differ from 93318?
93355 is for TEE guidance of a transcatheter intracardiac or great-vessel structural intervention. 93318 is associated with intraoperative TEE during surgery.
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
Fee sheets
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