Billing code 93319: 3D echoMedicare rate & RVUs
Reports workstation-based 3D echocardiographic rendering, interpretation, and reporting performed to assess congenital cardiac anatomy alongside a primary congenital echo study.
Medicare pays $55.78 for 93319 nationally in the office and $20.71 in a hospital or facility. Local office rates run $49.76–$73.79.
Medicare rate · 93319
3D echo
Swap in your local Medicare rate.
- Work RVUs
- 0.49
- Total RVUs
- 1.67
- Global days
- ZZZ
National rate · 2026
$55.78
Office setting, before claim adjustments.
See every locality for 93319 → · Billed by an NP, PA or therapist? →
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 10 sections
What 93319 covers
This service adds three-dimensional rendering and interpretation of echocardiographic images for a congenital cardiac anomaly. The images undergo postprocessing on an independent workstation, and the interpreting physician documents the resulting anatomy in a report. A congenital transthoracic or transesophageal study may provide the source images; examples of the anatomy assessed include complex septal defects or abnormal cardiac outflow structures.
Report 93319 only with an eligible primary congenital echocardiography procedure, such as a complete or limited congenital transthoracic study or a congenital transesophageal study. Documentation should identify the congenital concern, support the need for 3D assessment, and show independent-workstation postprocessing and interpretation. CMS classifies this as an add-on code: it is billed only with a primary procedure, and payment falls within that procedure’s global period.
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 93319 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$49.76 to $73.79
109 of 109 payment localities
93319 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.
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$49.76
$66.44
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $65.84 | 1 |
| AL | $50.44 | 1 |
| AR | $49.76 | 1 |
| AZ | $54.41 | 1 |
| CA | $59.09–$73.79 | 29 |
| CO | $58.12 | 1 |
| CT | $59.32 | 1 |
| DC | $63.59 | 1 |
| DE | $55.27 | 1 |
| FL | $54.78–$59.38 | 3 |
| GA | $51.92–$56.71 | 2 |
| GU | $60.43 | 1 |
| HI | $60.43 | 1 |
| IA | $51.74 | 1 |
| ID | $52.03 | 1 |
| IL | $53.22–$57.95 | 4 |
| IN | $52.31 | 1 |
| KS | $51.46 | 1 |
| KY | $51.44 | 1 |
| LA | $51.34–$53.71 | 2 |
| MA | $57.79–$63.69 | 2 |
| MD | $56.29–$63.59 | 3 |
| ME | $52.23–$54.94 | 2 |
| MI | $52.64–$55.36 | 2 |
| MN | $55.94 | 1 |
| MO | $50.49–$53.95 | 3 |
| MS | $50.14 | 1 |
| MT | $55.78 | 1 |
| NC | $52.75 | 1 |
| ND | $54.99 | 1 |
| NE | $52.02 | 1 |
| NH | $57.17 | 1 |
| NJ | $60.07–$62.99 | 2 |
| NM | $52.89 | 1 |
| NV | $55.59 | 1 |
| NY | $53.48–$65.17 | 5 |
| OH | $52.48 | 1 |
| OK | $51.41 | 1 |
| OR | $55.23–$59.93 | 2 |
| PA | $52.58–$57.89 | 2 |
| PR | $56.18 | 1 |
| RI | $57.20 | 1 |
| SC | $52.69 | 1 |
| SD | $54.89 | 1 |
| TN | $51.70 | 1 |
| TX | $52.26–$57.87 | 8 |
| UT | $53.36 | 1 |
| VA | $54.74–$63.59 | 2 |
| VI | $56.18 | 1 |
| VT | $54.74 | 1 |
| WA | $57.69–$65.00 | 2 |
| WI | $53.26 | 1 |
| WV | $51.37 | 1 |
| WY | $55.43 | 1 |
How the 93319 rate is calculated
Each of 93319’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 · 93319
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.49Practice expense 1.14Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93319
The CMS indicators that decide how 93319 is paid alongside other services.
CMS payment indicators · 93319
3D echo
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
93319 compared with similar codes
Compare codes
93319 vs 93303 vs 93304 vs 93315 vs 93356: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93303Congenital echo
- 93303 reports a complete congenital transthoracic echocardiographic study. Add 93319 only when the congenital study also includes qualifying 3D workstation rendering and interpretation.
- 93304Transthoracic echo
- 93304 reports a limited congenital transthoracic study. It is the primary study; 93319 represents the additional 3D rendering service when performed.
- 93315Echo transesophageal
- 93315 reports a complete congenital transesophageal echocardiographic study. 93319 adds 3D rendering for congenital anatomy when the required postprocessing and interpretation are performed.
- 93356Strain imaging
- 93356 reports myocardial strain imaging with speckle tracking. 93319 instead covers 3D rendering directed at congenital cardiac anomalies.
93319 billing questions
Can 93319 be billed by itself?
No. It is an add-on and must be reported with an eligible primary congenital echocardiography procedure.
What documentation supports 93319?
Document the congenital cardiac anatomy being assessed, the 3D image postprocessing performed on an independent workstation, and the physician’s interpretation and report.
Does a routine 2D congenital echo support this code?
No. The service requires 3D rendering with independent-workstation postprocessing; routine 2D image acquisition and interpretation alone are not enough.
Which primary studies can be paired with 93319?
Common eligible congenital studies include 93303, 93304, 93315, and 93317. Report the primary study that reflects the actual transthoracic or transesophageal service.
Is 93319 the same as a strain imaging add-on?
No. 93319 covers 3D rendering for congenital cardiac anomalies; 93356 reports myocardial strain imaging using speckle tracking.
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
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