CPT 93312
Global XXX ActiveEcho transesophageal
CPT 93312 Billing & Documentation Guide
CPT code 93312 (Echo transesophageal) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.24, a non-facility practice expense RVU of 4.83, and a malpractice RVU of 0.1, a total non-facility RVU of 7.17 and facility RVU of 7.17. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $247.57, though rates vary from $215.12 to $317.47 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93312, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 93312 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 93312 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 93312
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.24 | 2.24 |
| Practice Expense RVU | 4.83 | 4.83 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 7.17 | 7.17 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93312
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $270.2 | $270.2 | $254.69 - $317.47 | 29 |
| Florida | $243.19 | $243.19 | $234.07 - $251.21 | 3 |
| Georgia | $232.83 | $232.83 | $222.7 - $242.96 | 2 |
| Illinois | $237.35 | $237.35 | $227.33 - $246.94 | 4 |
| Michigan | $231.01 | $231.01 | $225.88 - $236.13 | 2 |
| North Carolina | $227.47 | $227.47 | $227.47 - $227.47 | 1 |
| New York | $262.88 | $262.88 | $230.43 - $277.63 | 5 |
| Ohio | $225.48 | $225.48 | $225.48 - $225.48 | 1 |
| Pennsylvania | $237.08 | $237.08 | $226.07 - $248.09 | 2 |
| Texas | $237.16 | $237.16 | $224.73 - $248.61 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 93312
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93312 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0653T | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 43191 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
Frequently Asked Questions, CPT 93312
What does CPT code 93312 mean? +
CPT code 93312 represents: Echo transesophageal. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93312? +
The 2026 Medicare national average non-facility payment for CPT 93312 is $247.57. Rates range from $215.12 to $317.47 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93312? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 93312? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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