93303 reports a complete congenital transthoracic echocardiographic study. Add 93319 only when the congenital study also includes qualifying 3D workstation rendering and interpretation.
On this page
CMS RVU26D · Effective 2026-10-01
93319 3D echo Medicare reimbursement rates in Missouri
Reports workstation-based 3D echocardiographic rendering, interpretation, and reporting performed to assess congenital cardiac anatomy alongside a primary congenital echo study. Compare 93319 office and facility rates across CMS payment localities in Missouri.
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 93319 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$50.49–$53.95
3 of 3 localities have a supported rate.
Facility setting
$20.26–$20.57
3 of 3 localities have a 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.
Where 93319 pays more and less in Missouri
3 payment localities
$50.49 to $53.95
Echocardiography
About 93319: Congenital cardiac 3D echo rendering
Reports workstation-based 3D echocardiographic rendering, interpretation, and reporting performed to assess congenital cardiac anatomy alongside a primary congenital echo study.
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.
CMS billing rules for 93319
- 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 RVU0.49 · 29%
- Practice expense (office) RVU1.14 · 68%
- Malpractice RVU0.04 · 2%
28.1K
Medicare services in 2024 · #996 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.
93319 compared with similar codes
Office rates for Missouri, from the same CMS release.
93304 reports a limited congenital transthoracic study. It is the primary study; 93319 represents the additional 3D rendering service when performed.
Echo transesophageal
93315 reports a complete congenital transesophageal echocardiographic study. 93319 adds 3D rendering for congenital anatomy when the required postprocessing and interpretation are performed.
93356 reports myocardial strain imaging with speckle tracking. 93319 instead covers 3D rendering directed at congenital cardiac anomalies.
Compare 93319 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$53.43
Facility
$20.49
Metropolitan St. Louis →
Office / nonfacility
$53.95
Facility
$20.57
Rest Of Missouri →
Office / nonfacility
$50.49
Facility
$20.26
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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 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.
