No office rate
93313 represents probe placement alone. Choose 93312 when the complete service, including image acquisition and interpretation, is performed.
On this page
CMS RVU26D · Effective 2026-10-01
93312 Transesophageal echo Medicare reimbursement rates in Nebraska
Reports a complete transesophageal echocardiogram, including probe placement, image acquisition, and interpretation, when cardiac structures require evaluation from the esophagus. Compare 93312 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 93312 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
$224.98
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.
Cardiac imaging
About 93312: Complete transesophageal echocardiogram
Reports a complete transesophageal echocardiogram, including probe placement, image acquisition, and interpretation, when cardiac structures require evaluation from the esophagus.
A transesophageal echocardiogram uses an ultrasound probe passed into the esophagus to obtain views of the heart and nearby structures. A cardiologist or other qualified physician may use it to evaluate valve disease, suspected endocarditis, prosthetic valves, intracardiac masses, or a possible cardiac source of embolism. The service is performed in settings such as a hospital, outpatient department, or procedure area when transthoracic views are inadequate or a closer view is needed.
Report 93312 when the service includes probe placement, image acquisition, and the physician’s interpretation and report. The record should support the indication, the examination performed, and the findings in the signed report. Modifier 26 identifies the professional interpretation and report; modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 93312
- 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 RVU2.24 · 31%
- Practice expense (office) RVU4.83 · 67%
- Malpractice RVU0.10 · 1%
337.9K
Medicare services in 2024 · #288 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.
93312 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$215.00
93314 represents image acquisition, interpretation, and report without probe placement. Choose 93312 when the complete service includes probe placement.
93315
No office rateEcho transesophageal
93315 is the complete transesophageal study for congenital cardiac anomalies; 93312 is the complete service for other indications.
93318
No office rateEcho transesophageal intraop
93318 describes intraoperative transesophageal monitoring for ongoing assessment during surgery. 93312 reports a diagnostic transesophageal examination.
Compare 93312 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
$224.98
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 93312 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,055
- Code
- 93312
- Physician work
- 2.24
- Practice expense
- 4.83
- Malpractice
- 0.10
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.24 | × 1.000 | 2.2400 |
| Practice expense | 4.83 | × 0.923 | 4.4581 |
| Malpractice | 0.10 | × 0.378 | 0.0378 |
| Total RVUs | 6.7359 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$224.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.24 | 1 |
| Practice expense | 4.83 | 0.923 |
| Malpractice | 0.1 | 0.378 |
(2.24 × 1 + 4.83 × 0.923 + 0.1 × 0.378) × $33.4009 = $224.98
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.
93312 billing questions
When should 93312 be chosen instead of a transthoracic echo?
Use 93312 for a transesophageal examination, with the ultrasound probe positioned in the esophagus. A transthoracic study such as 93306 uses images obtained through the chest wall.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation and report, while modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.
Can 93313 or 93314 be reported with 93312?
93313 describes probe placement alone, and 93314 describes image acquisition with interpretation and report. They represent split portions of the service rather than additional portions to report alongside a complete 93312 service.
Does a multiple-procedure reduction affect 93312?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. For a global service, the reduction affects its technical portion.
What documentation supports reporting 93312?
Document the reason for the transesophageal examination, that probe placement and image acquisition were performed, and the physician’s findings and interpretation in a report.
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.
12,05293308,,Tte f-up or lmtd,A,,0.52,2.47,,2.47,NA,0.04,3.03,3.03,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,7.43,7.43,0.08
12,05393308,26,Tte f-up or lmtd,A,,0.52,0.20,,0.20,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,05493308,TC,Tte f-up or lmtd,A,,0.00,2.27,,2.27,NA,0.02,2.29,2.29,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,7.23,7.23,0.06
12,05593312,,Echo transesophageal,A,,2.24,4.83,,4.83,NA,0.10,7.17,7.17,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,17.43,17.43,0.20
12,05693312,26,Echo transesophageal,A,,2.24,0.84,,0.84,,0.07,3.15,3.15,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,05793312,TC,Echo transesophageal,A,,0.00,3.99,,3.99,NA,0.03,4.02,4.02,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,03,0,99,16.59,16.59,0.13
12,05893313,,Echo transesophageal,A,,0.25,0.04,NA,0.04,,0.02,0.31,0.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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