CPT 93313
Global XXX ActiveEcho transesophageal
CPT 93313 Billing & Documentation Guide
CPT code 93313 (Echo transesophageal) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.25, a non-facility practice expense RVU of 0.04, and a malpractice RVU of 0.02, a total non-facility RVU of 0.31 and facility RVU of 0.31. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $10.49, though rates vary from $9.84 to $14.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93313, 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 93313 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 93313 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 93313
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.25 | 0.25 |
| Practice Expense RVU | 0.04 | 0.04 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.31 | 0.31 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93313
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 | $10.59 | $10.59 | $10.31 - $11.55 | 29 |
| Florida | $10.99 | $10.99 | $10.63 - $11.43 | 3 |
| Georgia | $10.43 | $10.43 | $10.34 - $10.53 | 2 |
| Illinois | $10.94 | $10.94 | $10.61 - $11.28 | 4 |
| Michigan | $10.55 | $10.55 | $10.32 - $10.77 | 2 |
| North Carolina | $10.02 | $10.02 | $10.02 - $10.02 | 1 |
| New York | $11.15 | $11.15 | $10.09 - $11.71 | 5 |
| Ohio | $10.24 | $10.24 | $10.24 - $10.24 | 1 |
| Pennsylvania | $10.45 | $10.45 | $10.21 - $10.69 | 2 |
| Texas | $10.33 | $10.33 | $10.19 - $10.66 | 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 93313
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93313 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 93313
What does CPT code 93313 mean? +
CPT code 93313 represents: Echo transesophageal. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93313? +
The 2026 Medicare national average non-facility payment for CPT 93313 is $10.49. Rates range from $9.84 to $14.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93313? +
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 93313? +
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 June 1, 2026.
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