$202.97
93350 reports the primary stress echocardiography service. Add 93352 when an ultrasound-enhancing agent is administered during that study.
On this page
CMS RVU26D · Effective 2026-10-01
93352 Contrast administration Medicare reimbursement rates in Hawaii
Reports administration of an ultrasound-enhancing agent during stress echocardiography to improve cardiac image definition, commonly for assessment of left ventricular wall motion. Compare 93352 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 93352 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$39.39
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Echocardiography
About 93352: Ultrasound contrast administration during stress echo
Reports administration of an ultrasound-enhancing agent during stress echocardiography to improve cardiac image definition, commonly for assessment of left ventricular wall motion.
During a stress echocardiogram, an ultrasound-enhancing agent may be administered when standard images do not clearly show the left ventricular endocardial border. Better border definition can help the interpreting clinician assess wall motion during stress. This service is typically performed in a cardiology or hospital echocardiography setting as part of an exercise- or pharmacologic-stress study.
Report 93352 only with the primary stress echocardiography procedure, typically 93350 or 93351; it is not a stand-alone stress test or echocardiogram. Documentation should identify the stress study, the reason contrast was used, and its administration during the examination. The CMS add-on rule means payment for 93352 is made only with the primary procedure and within that procedure's global period.
CMS billing rules for 93352
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.19 · 18%
- Practice expense (office) RVU0.86 · 80%
- Malpractice RVU0.02 · 2%
21.9K
Medicare services in 2024 · #1111 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.
93352 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$255.77
93351 is a primary stress-echo service; 93352 is the add-on for contrast administration during stress echocardiography.
$215.69
93306 is a complete resting transthoracic echocardiogram, while 93352 applies only to contrast administration during a stress echocardiogram.
Compare 93352 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$39.39
Facility
Unavailable
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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 93352 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
12,088
- Code
- 93352
- Physician work
- 0.19
- Practice expense
- 0.86
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.19 | × 1.000 | 0.1900 |
| Practice expense | 0.86 | × 1.137 | 0.9778 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 1.1794 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$39.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.19 | 1 |
| Practice expense | 0.86 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.19 × 1 + 0.86 × 1.137 + 0.02 × 0.579) × $33.4009 = $39.39
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.
93352 billing questions
Can 93352 be billed by itself?
No. It is an add-on for contrast administration during stress echocardiography and must be billed with the applicable primary stress-echo procedure, typically 93350 or 93351.
How do 93350 and 93351 differ when paired with 93352?
Select the primary code based on the stress echocardiography service performed and documented. 93352 reports the contrast administration, not the choice of stress-echo primary code.
Does 93352 report the stress echocardiogram itself?
No. It reports administration of the ultrasound-enhancing agent during the study; the stress-echo service is reported with its primary procedure code.
What should the record support for 93352?
Document the stress echocardiogram, why contrast was needed to improve image definition, and that the agent was administered during the study.
Is 93352 paid as a stand-alone service?
No. CMS treats it as an add-on payable only with its primary procedure and within that procedure's global period.
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.
12,08593351,,Stress tte complete,A,,1.71,5.18,,5.18,NA,0.10,6.99,6.99,1,XXX,0.00,0.00,0.00,6,0,9,9,9,9,,33.4009,09,0,99,17.23,17.23,0.21
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014