Billing code 93312: Transesophageal echoMedicare rate & RVUs

Medicare pays $239.48 for 93312 nationally in the office. Local office rates run $215.12–$317.47.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93312 covers

A transesophageal echocardiogram uses an ultrasound probe passed into the esophagus to obtain views of the heart and nearby structures. A cardiologist or other qualified physician may use it to evaluate valve disease, suspected endocarditis, prosthetic valves, intracardiac masses, or a possible cardiac source of embolism. The service is performed in settings such as a hospital, outpatient department, or procedure area when transthoracic views are inadequate or a closer view is needed.

Report 93312 when the service includes probe placement, image acquisition, and the physician’s interpretation and report. The record should support the indication, the examination performed, and the findings in the signed report. Modifier 26 identifies the professional interpretation and report; modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

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 93312 pays more and less

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

109 of 109 payment localities

93312 rates by state

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

How the 93312 rate is calculated

Each of 93312’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 93312

The CMS indicators that decide how 93312 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93312 compared with similar codes

How to choose

93313TEE probe placement

93313 represents probe placement alone. Choose 93312 when the complete service, including image acquisition and interpretation, is performed.

93314TEE

93314 represents image acquisition, interpretation, and report without probe placement. Choose 93312 when the complete service includes probe placement.

93315Echo transesophageal

93315 is the complete transesophageal study for congenital cardiac anomalies; 93312 is the complete service for other indications.

93318Echo transesophageal intraop

93318 describes intraoperative transesophageal monitoring for ongoing assessment during surgery. 93312 reports a diagnostic transesophageal examination.

Codes related to 93312

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

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