CPT code 93355: TEE guidance, transcatheter structural intervention2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $192.20 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.

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 Puerto Rico 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. Puerto Rico pays $192.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93355 rates by state

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

See 93355 in every payment locality

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.

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.

Codes related to 93355

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

How 93355 has changed in Puerto Rico

Price 93355 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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