$205.46
Both address congenital cardiac anomalies by transthoracic imaging. Choose 93303 for a complete examination and 93304 for a limited or follow-up study.
On this page
CMS RVU26D · Effective 2026-10-01
93304 Transthoracic echo Medicare reimbursement rates in Nebraska
Reports a focused or follow-up transthoracic echocardiogram for congenital heart disease when the study does not require a complete congenital examination. Compare 93304 office and facility rates across CMS payment localities in Nebraska.
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 93304 in Nebraska?
Nebraska 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
$142.96
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Cardiology imaging
About 93304: Limited congenital heart echocardiogram
Reports a focused or follow-up transthoracic echocardiogram for congenital heart disease when the study does not require a complete congenital examination.
This service uses ultrasound from the chest wall to assess a focused question or follow-up finding in a patient with congenital heart disease. Cardiologists and other qualified imaging professionals commonly perform it in an echocardiography lab, hospital, or outpatient setting. It may support surveillance of a known congenital defect or assessment after an intervention when a limited examination is appropriate; it is not the complete congenital study.
Select 93304 when the documented examination is limited or a follow-up study for congenital cardiac anatomy, rather than a complete congenital study or a limited study for a noncongenital indication. The report should identify the clinical question and the structures or findings assessed. Bill the global service without a component modifier, or use modifier 26 for interpretation or TC for equipment and staff when billing a component. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component, not the professional interpretation.
CMS billing rules for 93304
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.73 · 16%
- Practice expense (office) RVU3.83 · 83%
- Malpractice RVU0.04 · 1%
1.4K
Medicare services in 2024 · #2709 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.
93304 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$94.02
Both describe limited or follow-up transthoracic imaging, but 93304 is for congenital cardiac anomalies; 93308 belongs to the general series.
$183.78
93306 is a complete transthoracic study with Doppler. 93304 is selected for a limited or follow-up congenital study.
Compare 93304 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
Nebraska →
Office / nonfacility
$142.96
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 93304 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,043
- Code
- 93304
- Physician work
- 0.73
- Practice expense
- 3.83
- Malpractice
- 0.04
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 3.83 | × 0.923 | 3.5351 |
| Malpractice | 0.04 | × 0.378 | 0.0151 |
| Total RVUs | 4.2802 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$142.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 3.83 | 0.923 |
| Malpractice | 0.04 | 0.378 |
(0.73 × 1 + 3.83 × 0.923 + 0.04 × 0.378) × $33.4009 = $142.96
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.
93304 billing questions
When should 93304 be chosen over 93303?
Use 93304 for a limited or follow-up transthoracic study addressing congenital heart disease. Use 93303 when the congenital examination is complete.
How does 93304 differ from 93308?
93304 identifies a limited or follow-up study for congenital cardiac anomalies. 93308 is the corresponding limited or follow-up transthoracic study in the general, noncongenital series.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the interpretation and report, or modifier TC for the equipment and staff. Billing without either modifier represents the global service.
Does the multiple-procedure reduction affect both components?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. It does not apply to the professional interpretation under the stated rule.
What documentation supports reporting 93304?
Document the congenital heart condition, the reason for the focused or follow-up examination, and the findings or structures evaluated. The record should support a limited study rather than a complete congenital examination.
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.
12,04093303,,Echo transthoracic,A,,1.27,5.26,,5.26,NA,0.07,6.60,6.60,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,17.10,17.10,0.15
12,04193303,26,Echo transthoracic,A,,1.27,0.49,,0.49,,0.04,1.80,1.80,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,04293303,TC,Echo transthoracic,A,,0.00,4.77,,4.77,NA,0.03,4.80,4.80,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,16.61,16.61,0.11
12,04393304,,Echo transthoracic,A,,0.73,3.83,,3.83,NA,0.04,4.60,4.60,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,16.91,16.91,0.11
12,04493304,26,Echo transthoracic,A,,0.73,0.29,,0.29,,0.02,1.04,1.04,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,04593304,TC,Echo transthoracic,A,,0.00,3.54,,3.54,NA,0.02,3.56,3.56,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,16.62,16.62,0.09
12,04693306,,Tte w/doppler complete,A,,1.42,4.39,,4.39,NA,0.08,5.89,5.89,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,17.13,17.13,0.18
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068