$239.09
93312 describes a diagnostic TEE service. Use 93355 when TEE provides real-time guidance for a transcatheter structural intervention.
On this page
CMS RVU26D · Effective 2026-10-01
93355 TEE guidance Medicare reimbursement rates in Nevada
Real-time transesophageal echocardiography guides a transcatheter structural heart intervention and documents device position, anatomy, and procedural findings. Compare 93355 office and facility rates across CMS payment localities in Nevada.
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 93355 in Nevada?
Nevada 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
No supported rate
Facility setting
$190.19
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
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 93355: Transesophageal echo guidance for structural intervention
Real-time transesophageal echocardiography guides a transcatheter structural heart intervention and documents device position, anatomy, and procedural findings.
During a transcatheter structural heart procedure, a cardiologist with echocardiography expertise uses an esophageal probe to guide device placement and assess the result in real time. Common settings include a catheterization laboratory or hybrid operating room for procedures such as transcatheter aortic valve replacement, transcatheter mitral repair, or left atrial appendage closure. The service includes image acquisition, interpretation, reporting, and real-time 3D imaging; it is not the catheter-based repair or implantation itself.
Report 93355 for TEE performed to guide the transcatheter intervention. Documentation should identify the intervention, describe the imaging used to guide it, and record relevant anatomy, device position, findings, and the interpretation. Distinguish procedural guidance from a diagnostic TEE performed to evaluate a clinical question and from TEE during open cardiac surgery. CMS physician fee schedule valuation includes physician work, practice expense, and malpractice RVUs.
Where the value comes from
- Work RVU4.54 · 79%
- Practice expense (office) RVU0.87 · 15%
- Malpractice RVU0.34 · 6%
31.8K
Medicare services in 2024 · #949 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.
93355 compared with similar codes
Office rates for Nevada, from the same CMS release.
93318
No office rateEcho transesophageal intraop
93318 is used for intraoperative TEE during surgery; 93355 is for guidance during a transcatheter structural intervention.
$196.43
93306 is a complete transthoracic echocardiogram. 93355 uses an esophageal probe to guide a transcatheter intervention in real time.
Compare 93355 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$190.19
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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 93355 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
12,089
- Code
- 93355
- Physician work
- 4.54
- Practice expense
- 0.87
- Malpractice
- 0.34
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.54 | × 1.000 | 4.5400 |
| Practice expense | 0.87 | × 1.001 | 0.8709 |
| Malpractice | 0.34 | × 0.833 | 0.2832 |
| Total RVUs | 5.6941 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$190.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.54 | 1 |
| Practice expense | 0.87 | 1.001 |
| Malpractice | 0.34 | 0.833 |
(4.54 × 1 + 0.87 × 1.001 + 0.34 × 0.833) × $33.4009 = $190.19
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.
93355 billing questions
How does 93355 differ from 93312?
93355 is for real-time TEE guidance during a transcatheter structural intervention. 93312 describes a diagnostic TEE service rather than procedural guidance.
Does 93355 include the structural heart procedure?
No. It represents the TEE guidance service, not the valve repair, device closure, or other catheter-based intervention.
Is real-time 3D imaging part of 93355?
Yes. The service includes real-time 3D imaging, along with image acquisition, interpretation, and reporting.
What documentation supports reporting 93355?
Document the transcatheter intervention being guided, the imaging used during the procedure, relevant anatomy and device position, procedural findings, and the interpreting provider’s report.
How does 93355 differ from 93318?
93355 is for TEE guidance of a transcatheter intracardiac or great-vessel structural intervention. 93318 is associated with intraoperative TEE during surgery.
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.
12,08693351,26,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
12,09293451,26,Right heart cath,A,,2.41,1.03,,1.03,,0.39,3.83,3.83,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097