2025 CPT code 93352
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Procedure - Echocardiography Cardiovascular System Feed
Use of echocardiographic contrast agent during stress echocardiography.Reported separately in addition to the primary procedure code.
Modifiers may be applicable depending on the circumstances of the service. Consult the CPT manual and payer guidelines for appropriate modifier use.
Medical necessity is established when standard echocardiographic imaging fails to adequately visualize the left ventricular endocardium, hindering the accurate assessment of cardiac function during stress testing. The contrast agent improves image quality, allowing for more precise evaluation of cardiac function and informing management decisions.
Administration of the contrast agent is usually performed by a nurse or other qualified healthcare professional.The echocardiography and interpretation are performed by a cardiologist or other qualified physician.
In simple words: This code covers using a special dye to get clearer pictures of the heart during a stress test.The dye helps doctors see the heart more easily, especially when other methods don't provide clear enough images. This is billed separately from the main heart stress test.
This CPT code, 93352, reports the administration of an echocardiographic contrast agent during a stress echocardiogram.The contrast agent enhances the visualization of the heart's structures, particularly the left ventricle's endocardium, which might be difficult to see with standard echocardiography. This is especially helpful when standard imaging techniques fail to adequately delineate left ventricular endocardial borders. The contrast agent is administered intravenously, both at rest and during stress, improving image quality for accurate assessment of cardiac function under stress.This code is reported in addition to the primary stress echocardiography code (93350 or 93351), and should only be reported once per stress echocardiogram.The supply of the contrast agent is billed separately.
Example 1: A 65-year-old male patient presents with chest pain during exertion. A stress echocardiogram is ordered to assess his cardiac function.Due to poor visualization of the left ventricular endocardium, the physician orders intravenous echocardiographic contrast to improve image quality. Code 93352 is reported in addition to the stress echocardiogram code (either 93350 or 93351)., A 70-year-old female patient with a history of hypertension undergoes a pharmacologically induced stress echocardiogram. During the procedure, the sonographer notes difficulty visualizing the endocardium. Intravenous contrast is administered, improving image quality for assessment of left ventricular function. Code 93352 is added to the primary stress echocardiogram code.The supply of the contrast is billed separately using an appropriate HCPCS code., A 58-year-old male patient with known coronary artery disease is scheduled for a treadmill stress echocardiogram.Pre-test imaging reveals suboptimal visualization of the left ventricular endocardium.Intravenous echocardiographic contrast is used to optimize visualization at rest and at peak stress.Code 93352 is reported with the appropriate stress echocardiogram code (93350 or 93351). Separate billing for the contrast agent supply occurs.
* Patient's medical history and reason for the stress echocardiogram.* Documentation of the need for contrast agent administration (e.g., poor visualization of endocardial borders).* Type and amount of contrast agent administered.* Images obtained before, during, and after contrast administration.* Physician's interpretation and report of the stress echocardiogram.* ECG tracings taken before, during, and after the stress test.* Documentation of the stress test protocol used (treadmill, bicycle, or pharmacological).* Note the method and results of stress (e.g., achieved target heart rate, reason for test termination).
** Always consult the most current CPT manual and payer guidelines for accurate coding and reimbursement practices.
- RVU: RVUs vary based on geographic location and other factors. Check your local Medicare fee schedule or other payer-specific information for current RVU values.
- Global Days: Not applicable. This is an add-on code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Historical fee schedule data is not provided.Consult your payer's fee schedule for historical information.
- Specialties:Cardiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center