$24.95–$29.26
Use 93320 for a complete spectral Doppler assessment and 93321 for a limited or follow-up spectral Doppler assessment.
On this page
CMS RVU26D · Effective 2026-10-01
93320 Spectral Doppler Medicare reimbursement rates in Virginia
Reports a complete spectral Doppler assessment added to an eligible echocardiogram to evaluate cardiac blood-flow velocities and hemodynamics. Compare 93320 office and facility rates across CMS payment localities in Virginia.
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 93320 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$50.59–$59.02
2 of 2 localities have a supported rate.
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.
Echocardiography
About 93320: Complete spectral Doppler echocardiography
Reports a complete spectral Doppler assessment added to an eligible echocardiogram to evaluate cardiac blood-flow velocities and hemodynamics.
Code 93320 represents a complete spectral Doppler assessment performed as an add-on to an echocardiographic study. Doppler data record blood-flow velocities and direction, supporting evaluation of valve stenosis or regurgitation, intracardiac shunting, and cardiac hemodynamics. Cardiac sonographers typically acquire the data in hospitals, imaging departments, and cardiology offices; a qualified physician interprets the findings with the associated echocardiogram.
Report 93320 only with an eligible primary echo code when a complete spectral Doppler assessment is performed; it is not a stand-alone service. Documentation should support the complete Doppler assessment and link it to the corresponding echo report. Do not add it to a complete TTE code that already includes spectral Doppler, such as 93306. CMS treats 93320 as an add-on paid within the primary procedure's global period. Modifier 26 identifies the interpretation, and TC identifies the equipment and staff; billing without a modifier represents the global service.
CMS billing rules for 93320
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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.
Where the value comes from
- Work RVU0.37 · 24%
- Practice expense (office) RVU1.15 · 75%
- Malpractice RVU0.02 · 1%
315.7K
Medicare services in 2024 · #300 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.
93320 compared with similar codes
Office rates for Virginia, from the same CMS release.
$23.35–$27.65
93325 reports color-flow mapping; 93320 reports spectral Doppler data, such as flow velocities.
$193.45–$225.69
93306 includes spectral Doppler in a complete transthoracic echocardiogram. Do not separately add 93320 to that code.
$135.65–$158.66
93307 reports a complete transthoracic study without Doppler. When complete spectral Doppler is also performed, 93320 may be added to the primary study.
Compare 93320 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$59.02
Facility
Unavailable
Virginia →
Office / nonfacility
$50.59
Facility
Unavailable
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93320 billing questions
Can 93320 be billed by itself?
No. It is an add-on and must be reported with an eligible primary echocardiography procedure.
How is 93320 different from 93321?
93320 represents a complete spectral Doppler assessment. Use 93321 when the spectral Doppler assessment is limited or follow-up rather than complete.
Can 93320 be reported with 93306?
No. Code 93306 includes spectral Doppler as part of the complete transthoracic study, so 93320 would duplicate that component.
When are modifiers 26 and TC appropriate?
Use modifier 26 for the physician's interpretation and report, or TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Can 93320 and 93325 be reported together?
They represent different Doppler techniques: spectral Doppler and color-flow mapping. Both may be reported when both services are performed and supported by the associated echocardiogram.
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.
12,07093318,26,Echo transesophageal intraop,A,,2.10,0.81,,0.81,,0.14,3.05,3.05,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,07193318,TC,Echo transesophageal intraop,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,16.70,16.70,0.01
12,07293319,,3d echo img cgen car anomal,A,,0.49,1.14,,0.09,,0.04,1.67,0.62,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,07393320,,Doppler echo complete,A,,0.37,1.15,,1.15,NA,0.02,1.54,1.54,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,07493320,26,Doppler echo complete,A,,0.37,0.14,,0.14,,0.01,0.52,0.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,07593320,TC,Doppler echo complete,A,,0.00,1.01,,1.01,NA,0.01,1.02,1.02,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,07693321,,Doppler echo f-up/lmtd std,A,,0.15,0.60,,0.60,NA,0.01,0.76,0.76,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00