CPT 93319
Global ZZZ Active3d echo img cgen car anomal
CPT 93319 Billing & Documentation Guide
CPT code 93319 (3d echo img cgen car anomal) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.49, a non-facility practice expense RVU of 1.14, and a malpractice RVU of 0.04, a total non-facility RVU of 1.67 and facility RVU of 0.62. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $57.58, though rates vary from $49.76 to $73.79 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93319, 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 93319 with related codes; this code has 6 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 93319 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 93319
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.49 | 0.49 |
| Practice Expense RVU | 1.14 | 0.09 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 1.67 | 0.62 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93319
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 | $62.73 | $21.24 | $59.09 - $73.79 | 29 |
| Florida | $57.17 | $21.98 | $54.78 - $59.38 | 3 |
| Georgia | $54.32 | $20.86 | $51.92 - $56.71 | 2 |
| Illinois | $55.77 | $21.88 | $53.22 - $57.95 | 4 |
| Michigan | $54 | $21.07 | $52.64 - $55.36 | 2 |
| North Carolina | $52.75 | $20.02 | $52.75 - $52.75 | 1 |
| New York | $61.44 | $22.31 | $53.48 - $65.17 | 5 |
| Ohio | $52.48 | $20.46 | $52.48 - $52.48 | 1 |
| Pennsylvania | $55.24 | $20.88 | $52.58 - $57.89 | 2 |
| Texas | $55.18 | $20.66 | $52.26 - $57.87 | 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 93319
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93319 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 93325 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0863T | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 76376 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 76377 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 93325 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 93355 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93319
What does CPT code 93319 mean? +
CPT code 93319 represents: 3d echo img cgen car anomal. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93319? +
The 2026 Medicare national average non-facility payment for CPT 93319 is $57.58. Rates range from $49.76 to $73.79 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93319? +
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 93319? +
This code has 6 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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