$254.71
93312 describes a diagnostic TEE service. Use 93355 when TEE provides real-time guidance for a transcatheter structural intervention.
On this page
CMS RVU26D · Effective 2026-10-01
93355 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$192.21
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Echocardiography
About 93355: Transesophageal echo guidance for structural intervention
Real-time transesophageal echocardiography guides a transcatheter structural heart intervention and documents device position, anatomy, and procedural findings.
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.
Where the value comes from
- Work RVU4.54 · 79%
- Practice expense (office) RVU0.87 · 15%
- Malpractice RVU0.34 · 6%
31.8K
Medicare services in 2024 · #949 by national volume
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.
93355 compared with similar codes
Office rates for El Centro, from the same CMS release.
93318
No office rateEcho transesophageal intraop
93318 is used for intraoperative TEE during surgery; 93355 is for guidance during a transcatheter structural intervention.
$210.39
93306 is a complete transthoracic echocardiogram. 93355 uses an esophageal probe to guide a transcatheter intervention in real time.
The same code, a different location
How does El Centro compare?
93355 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Modesto
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Napa
California · 93355
Office
Unavailable
Facility
$205.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 93355
Office
Unavailable
Facility
$197.31
No comparable office rate is available.
Redding
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Rest Of California
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 93355
Office
Unavailable
Facility
$195.90
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 93355
Office
Unavailable
Facility
$196.98
No comparable office rate is available.
Salinas
California · 93355
Office
Unavailable
Facility
$196.11
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 93355
Office
Unavailable
Facility
$197.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93355
Office
Unavailable
Facility
$212.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93355
Office
Unavailable
Facility
$211.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93355
Office
Unavailable
Facility
$216.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93355
Office
Unavailable
Facility
$214.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 93355
Office
Unavailable
Facility
$193.40
No comparable office rate is available.
Santa Cruz-Watsonville
California · 93355
Office
Unavailable
Facility
$196.22
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 93355
Office
Unavailable
Facility
$195.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 93355
Office
Unavailable
Facility
$197.96
No comparable office rate is available.
Stockton
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Vallejo
California · 93355
Office
Unavailable
Facility
$204.71
No comparable office rate is available.
Visalia
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Yuba City
California · 93355
Office
Unavailable
Facility
$192.15
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 93355
Office
Unavailable
Facility
$206.70
No comparable office rate is available.
Miami
Florida · 93355
Office
Unavailable
Facility
$210.61
No comparable office rate is available.
Chicago
Illinois · 93355
Office
Unavailable
Facility
$207.97
No comparable office rate is available.
Manhattan
New York · 93355
Office
Unavailable
Facility
$213.12
No comparable office rate is available.
Alaska*
Alaska · 93355
Office
Unavailable
Facility
$264.67
No comparable office rate is available.
Alabama
Alabama · 93355
Office
Unavailable
Facility
$183.49
No comparable office rate is available.
Arkansas
Arkansas · 93355
Office
Unavailable
Facility
$182.45
No comparable office rate is available.
Arizona
Arizona · 93355
Office
Unavailable
Facility
$189.52
No comparable office rate is available.
Colorado
Colorado · 93355
Office
Unavailable
Facility
$193.25
No comparable office rate is available.
Connecticut
Connecticut · 93355
Office
Unavailable
Facility
$199.71
No comparable office rate is available.
Delaware
Delaware · 93355
Office
Unavailable
Facility
$191.32
No comparable office rate is available.
Fort Lauderdale
Florida · 93355
Office
Unavailable
Facility
$201.61
No comparable office rate is available.
Rest Of Florida
Florida · 93355
Office
Unavailable
Facility
$196.49
No comparable office rate is available.
Atlanta
Georgia · 93355
Office
Unavailable
Facility
$195.26
No comparable office rate is available.
Rest Of Georgia
Georgia · 93355
Office
Unavailable
Facility
$191.10
No comparable office rate is available.
Hawaii, Guam
Hawaii · 93355
Office
Unavailable
Facility
$191.26
No comparable office rate is available.
Iowa
Iowa · 93355
Office
Unavailable
Facility
$182.74
No comparable office rate is available.
Idaho
Idaho · 93355
Office
Unavailable
Facility
$183.75
No comparable office rate is available.
East St. Louis
Illinois · 93355
Office
Unavailable
Facility
$201.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 93355
Office
Unavailable
Facility
$195.92
No comparable office rate is available.
Suburban Chicago
Illinois · 93355
Office
Unavailable
Facility
$202.67
No comparable office rate is available.
Indiana
Indiana · 93355
Office
Unavailable
Facility
$184.10
No comparable office rate is available.
Kansas
Kansas · 93355
Office
Unavailable
Facility
$183.63
No comparable office rate is available.
Kentucky
Kentucky · 93355
Office
Unavailable
Facility
$187.86
No comparable office rate is available.
New Orleans
Louisiana · 93355
Office
Unavailable
Facility
$191.89
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 93355
Office
Unavailable
Facility
$188.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 93355
Office
Unavailable
Facility
$202.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 93355
Office
Unavailable
Facility
$193.72
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 93355
Office
Unavailable
Facility
$199.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 93355
Office
Unavailable
Facility
$192.99
No comparable office rate is available.
Rest Of Maine
Maine · 93355
Office
Unavailable
Facility
$185.44
No comparable office rate is available.
Southern Maine
Maine · 93355
Office
Unavailable
Facility
$187.60
No comparable office rate is available.
Detroit
Michigan · 93355
Office
Unavailable
Facility
$198.83
No comparable office rate is available.
Rest Of Michigan
Michigan · 93355
Office
Unavailable
Facility
$190.99
No comparable office rate is available.
Minnesota
Minnesota · 93355
Office
Unavailable
Facility
$184.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 93355
Office
Unavailable
Facility
$190.02
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 93355
Office
Unavailable
Facility
$190.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 93355
Office
Unavailable
Facility
$187.75
No comparable office rate is available.
Mississippi
Mississippi · 93355
Office
Unavailable
Facility
$185.05
No comparable office rate is available.
Montana**
Montana · 93355
Office
Unavailable
Facility
$192.03
No comparable office rate is available.
North Carolina
North Carolina · 93355
Office
Unavailable
Facility
$186.01
No comparable office rate is available.
North Dakota**
North Dakota · 93355
Office
Unavailable
Facility
$185.31
No comparable office rate is available.
Nebraska
Nebraska · 93355
Office
Unavailable
Facility
$182.75
No comparable office rate is available.
New Hampshire
New Hampshire · 93355
Office
Unavailable
Facility
$191.83
No comparable office rate is available.
Northern Nj
New Jersey · 93355
Office
Unavailable
Facility
$207.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 93355
Office
Unavailable
Facility
$201.90
No comparable office rate is available.
New Mexico
New Mexico · 93355
Office
Unavailable
Facility
$191.93
No comparable office rate is available.
Nevada**
Nevada · 93355
Office
Unavailable
Facility
$190.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 93355
Office
Unavailable
Facility
$216.98
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 93355
Office
Unavailable
Facility
$204.02
No comparable office rate is available.
Queens
New York · 93355
Office
Unavailable
Facility
$212.07
No comparable office rate is available.
Rest Of New York
New York · 93355
Office
Unavailable
Facility
$187.23
No comparable office rate is available.
Ohio
Ohio · 93355
Office
Unavailable
Facility
$189.62
No comparable office rate is available.
Oklahoma
Oklahoma · 93355
Office
Unavailable
Facility
$186.41
No comparable office rate is available.
Portland
Oregon · 93355
Office
Unavailable
Facility
$194.80
No comparable office rate is available.
Rest Of Oregon
Oregon · 93355
Office
Unavailable
Facility
$188.57
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 93355
Office
Unavailable
Facility
$198.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 93355
Office
Unavailable
Facility
$189.05
No comparable office rate is available.
Puerto Rico
Puerto Rico · 93355
Office
Unavailable
Facility
$192.20
No comparable office rate is available.
Rhode Island
Rhode Island · 93355
Office
Unavailable
Facility
$194.67
No comparable office rate is available.
South Carolina
South Carolina · 93355
Office
Unavailable
Facility
$188.14
No comparable office rate is available.
South Dakota**
South Dakota · 93355
Office
Unavailable
Facility
$184.51
No comparable office rate is available.
Tennessee
Tennessee · 93355
Office
Unavailable
Facility
$184.15
No comparable office rate is available.
Austin
Texas · 93355
Office
Unavailable
Facility
$192.75
No comparable office rate is available.
Beaumont
Texas · 93355
Office
Unavailable
Facility
$188.63
No comparable office rate is available.
Brazoria
Texas · 93355
Office
Unavailable
Facility
$190.51
No comparable office rate is available.
Dallas
Texas · 93355
Office
Unavailable
Facility
$191.69
No comparable office rate is available.
Fort Worth
Texas · 93355
Office
Unavailable
Facility
$191.55
No comparable office rate is available.
Galveston
Texas · 93355
Office
Unavailable
Facility
$191.11
No comparable office rate is available.
Houston
Texas · 93355
Office
Unavailable
Facility
$197.33
No comparable office rate is available.
Rest Of Texas
Texas · 93355
Office
Unavailable
Facility
$189.47
No comparable office rate is available.
Utah
Utah · 93355
Office
Unavailable
Facility
$189.15
No comparable office rate is available.
Virginia
Virginia · 93355
Office
Unavailable
Facility
$188.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 93355
Office
Unavailable
Facility
$192.20
No comparable office rate is available.
Vermont
Vermont · 93355
Office
Unavailable
Facility
$186.15
No comparable office rate is available.
Rest Of Washington
Washington · 93355
Office
Unavailable
Facility
$192.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 93355
Office
Unavailable
Facility
$204.16
No comparable office rate is available.
Wisconsin
Wisconsin · 93355
Office
Unavailable
Facility
$182.98
No comparable office rate is available.
West Virginia
West Virginia · 93355
Office
Unavailable
Facility
$193.14
No comparable office rate is available.
Wyoming**
Wyoming · 93355
Office
Unavailable
Facility
$189.10
No comparable office rate is available.
See how rates vary across the country
93355 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93355 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$211.43
$192.21 × 110% = $211.43
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93355 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,089
- Code
- 93355
- Physician work
- 4.54
- Practice expense
- 0.87
- Malpractice
- 0.34
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.54 | × 1.017 | 4.6172 |
| Practice expense | 0.87 | × 1.096 | 0.9535 |
| Malpractice | 0.34 | × 0.541 | 0.1839 |
| Total RVUs | 5.7546 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$192.21
Open 93355 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.54 | 1.017 |
| Practice expense | 0.87 | 1.096 |
| Malpractice | 0.34 | 0.541 |
(4.54 × 1.017 + 0.87 × 1.096 + 0.34 × 0.541) × $33.4009 = $192.21
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $192.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $192.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $192.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $192.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $215.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $215.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $215.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $215.85 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,08693351,26,Stress tte complete,A,,1.71,0.66,,0.66,,0.06,2.43,2.43,1,XXX,0.00,0.00,0.00,6,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,08793351,TC,Stress tte complete,A,,0.00,4.52,,4.52,NA,0.04,4.56,4.56,1,XXX,0.00,0.00,0.00,6,0,9,9,9,9,,33.4009,02,0,99,16.57,16.57,0.15
12,08893352,,Admin ecg contrast agent,A,,0.19,0.86,,0.86,NA,0.02,1.07,1.07,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,08993355,,Echo transesophageal (tee),A,,4.54,0.87,NA,0.87,,0.34,5.75,5.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,09093356,,Myocrd strain img spckl trck,A,,0.23,0.85,,0.05,,0.02,1.10,0.30,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,09193451,,Right heart cath,A,,2.41,22.66,,22.66,NA,0.42,25.49,25.49,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,09293451,26,Right heart cath,A,,2.41,1.03,,1.03,,0.39,3.83,3.83,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664