Billing code 93350: Stress echoMedicare rate & RVUs in Nevada

Reports transthoracic ultrasound images and interpretation at rest and during exercise or pharmacologic stress to assess cardiac function and wall motion.

CMS RVU26DEffective Oct 1, 20261 payment locality63.3K Medicare services in 2024

Medicare pays $185.12 for 93350 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$185.12Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93350 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 93350 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 93350 covers

A stress echocardiogram records transthoracic images at rest and during cardiovascular stress, then compares cardiac function and wall motion across the two conditions. Cardiologists commonly use it to evaluate suspected or known coronary artery disease, including when a patient exercises on a treadmill or bicycle or receives pharmacologic stress. A sonographer may acquire the images under physician direction; the interpreting clinician reviews the study and prepares the report.

Report 93350 for the stress echocardiography service, not as a substitute for the separately performed ECG stress-test service. The record should identify the indication and stress method and support acquisition and interpretation of the rest and stress images. CMS permits separate professional (26) and technical (TC) billing; billing without either modifier represents the global service. When multiple cardiovascular diagnostic procedures are reported, the multiple-procedure reduction applies to the technical component.

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.

93350 in Nevada**

93350 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$185.12Unavailable

How the 93350 rate is calculated

Each of 93350’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93350

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.42Practice expense 4.06Malpractice 0.07

5.5500 adjusted RVUs×$33.4009 conversion factor=$185.37

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 93350

The CMS indicators that decide how 93350 is paid alongside other services.

CMS payment indicators · 93350

Stress echo

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93350 without 26 · national office

$185.37

Stress echo

93350-26 · Professional component

$67.47

Pays only the interpretation and report.

When to use modifier 26

93350 compared with similar codes

Compare codes

93350 vs 93351 vs 93306 vs 93015: national Medicare rates

Swap in your local Medicare rate.

  • 93350
    Stress echo · 1.42 wRVU
    $185.37
  • 93351
    Stress echocardiogram · 1.71 wRVU
    $233.47+$48.10
  • 93306
    Echocardiogram (TTE) · 1.42 wRVU
    $196.73+$11.36
  • 93015
    Cardiac stress test · 0.73 wRVU
    $73.48−$111.89

How to choose

93351Stress echocardiogram
Choose 93351 when the service includes continuous ECG monitoring and the cardiovascular stress-test service along with stress echocardiography; 93350 reports the echo service.
93306Echocardiogram (TTE)
93306 describes a complete resting transthoracic study. 93350 is selected for rest and stress images obtained to evaluate cardiac response to exercise or pharmacologic stress.
93015Cardiac stress test
93015 reports the cardiovascular stress-test service, not the echocardiographic imaging and interpretation reported by 93350.

93350 billing questions

How is 93350 different from 93351?

93350 reports the stress echocardiography service. 93351 also includes continuous ECG monitoring and the cardiovascular stress-test service.

Can the ECG stress test be reported separately with 93350?

The ECG stress-test service is not included in 93350 and may be separately reported when performed and documented. Use the code that reflects the stress-test service provided.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation; TC identifies the technical service, including equipment and staff. Without either modifier, the claim 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 component under the rule supplied for this code.

What documentation supports 93350?

Document the clinical indication, whether stress was exercise-based or pharmacologic, the rest and stress image findings, and the interpretation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93350PPRRVU2026_Oct_nonQPP.csv, line 12,082 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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