CPT 93320
Global ZZZ ActiveDoppler echo complete
CPT 93320 Billing & Documentation Guide
CPT code 93320 (Doppler echo complete) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.37, a non-facility practice expense RVU of 1.15, and a malpractice RVU of 0.02, a total non-facility RVU of 1.54 and facility RVU of 1.54. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $53.27, though rates vary from $45.7 to $69.46 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93320, 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 93320 with related codes; this code has 10 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 2 units of 93320 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 93320
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.37 | 0.37 |
| Practice Expense RVU | 1.15 | 1.15 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.54 | 1.54 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93320
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 | $58.61 | $58.61 | $55.02 - $69.46 | 29 |
| Florida | $52.2 | $52.2 | $50.08 - $54.03 | 3 |
| Georgia | $49.82 | $49.82 | $47.42 - $52.22 | 2 |
| Illinois | $50.79 | $50.79 | $48.47 - $53.08 | 4 |
| Michigan | $49.36 | $49.36 | $48.18 - $50.55 | 2 |
| North Carolina | $48.62 | $48.62 | $48.62 - $48.62 | 1 |
| New York | $56.7 | $56.7 | $49.32 - $60.06 | 5 |
| Ohio | $48.1 | $48.1 | $48.1 - $48.1 | 1 |
| Pennsylvania | $50.81 | $50.81 | $48.25 - $53.36 | 2 |
| Texas | $50.86 | $50.86 | $47.93 - $53.61 | 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 93320
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93320 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 76970 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76986 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76998 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 78730 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 93040 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 93041 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 93042 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 93320
What does CPT code 93320 mean? +
CPT code 93320 represents: Doppler echo complete. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93320? +
The 2026 Medicare national average non-facility payment for CPT 93320 is $53.27. Rates range from $45.7 to $69.46 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93320? +
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 93320? +
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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