2025 CPT code 93314
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Echocardiography Medicine Services and Procedures > Cardiovascular Procedures Feed
Transesophageal echocardiography (TEE); real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only.
Modifiers 26 (professional component only) and TC (technical component only) may be used as appropriate.Modifier 51 (multiple procedures) may be used if multiple echocardiographic studies are performed during the same encounter. Other modifiers may apply depending on the specific circumstances of the service.
Medical necessity for a TEE is established based on the clinical indication, such as suspected valvular heart disease, evaluation of intracardiac masses or thrombi, assessment of congenital heart disease, guidance during cardiac interventions, or the need for detailed cardiac anatomy before surgery.
The clinical responsibility involves performing the TEE procedure, which includes inserting the probe into the esophagus, acquiring real-time images, performing measurements, interpreting the images and findings, generating a comprehensive report, and documenting all clinically relevant findings including quantitative measurements and any recognized abnormalities.
In simple words: This test uses sound waves to create images of your heart from inside your esophagus (the tube connecting your mouth and stomach).The doctor looks at the images to check how your heart and its valves are working.
This CPT code encompasses transesophageal echocardiography (TEE), a procedure involving real-time acquisition of two-dimensional echocardiographic images (with optional M-mode recording) via a transesophageal probe.The service includes image acquisition, interpretation of the images, and generation of a comprehensive report documenting all clinically relevant findings, including quantitative measurements and descriptions of any abnormalities.The procedure provides visualization of the heart's chambers, valves, and great vessels.Doppler, color flow, and 3D imaging, if performed, are included in this code.
Example 1: A patient presents with chest pain and suspected valvular heart disease. A TEE is performed to visualize the heart valves and chambers in detail to assess for stenosis, regurgitation, or other abnormalities. , A patient is scheduled for cardiac surgery, and a pre-operative TEE is ordered to evaluate the anatomy of the heart and great vessels, assess left ventricular function, and exclude any significant intracardiac pathology. , A patient with a history of atrial fibrillation is undergoing a cardiac ablation procedure.Real-time TEE guidance is used to ensure precise catheter placement and to assess the effectiveness of the ablation.(Note: In this scenario, code 93355 would likely be the more appropriate code than 93314.)
The report should include a description of images, measurements obtained, and a comprehensive interpretation of the findings, including any identified abnormalities.The reason for any inability to visualize specific structures should be documented. Pertinent images, videotapes, and/or digital data should be archived for permanent storage and available for review.
** This code should only be reported when the criteria for a complete echocardiographic exam are not met.If a complete echocardiogram is performed, code 93306 or 93307 would be more appropriate.For fetal echocardiography, use codes 76825-76828.
- Revenue Code: I3C (ECHOGRAPHY - HEART)
- RVU: Information not available in provided text.Refer to the official CPT codebook or other relevant reimbursement resources for RVU values.
- Global Days: Information not available in provided text.
- Payment Status: Active
- Modifier TC rule: Modifier TC is applicable when only the technical component of the TEE is reported.
- Fee Schedule: Information not available in provided text. Refer to historical CPT fee schedules or other relevant reimbursement sources.
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center