2025 CPT code 93320
(Active) Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display. This comprehensive procedure includes spectral Doppler and color flow Doppler evaluations, providing detailed information about intracardiac blood flow and hemodynamics.
Modifiers may be applicable in certain circumstances, such as modifier 26 for the professional component or modifier 59 to indicate a distinct procedural service.
Medical necessity for 93320 must be supported by the patient's symptoms, clinical history, and suspected or established cardiovascular condition. The Doppler echocardiogram should be necessary to evaluate heart function, blood flow, or valvular abnormalities and contribute to the patient's diagnosis or treatment plan.
The physician or other qualified healthcare professional is responsible for supervising and interpreting the Doppler echocardiogram, including reviewing the images, spectral displays, and other data obtained during the procedure. They must provide a detailed report outlining the findings and any diagnoses based on the study.
In simple words: This is a special ultrasound of your heart that uses sound waves to create pictures and measure blood flow. It helps doctors see how well your heart is working and if there are any problems with the valves or blood vessels.
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete. This code represents a comprehensive Doppler echocardiography procedure that utilizes both pulsed and/or continuous wave Doppler techniques with spectral display. It's used to evaluate the speed and direction of blood flow within the heart and great vessels, aiding in the diagnosis of various cardiovascular conditions.
Example 1: A patient presents with shortness of breath and a heart murmur. A transthoracic echocardiogram (TTE) is performed along with Doppler using 93320 to assess valve function and blood flow., A patient with a history of congenital heart disease undergoes a follow-up echocardiogram. Code 93320 is used in conjunction with the appropriate base code to evaluate changes in blood flow dynamics., A patient undergoing a stress echocardiogram also has Doppler performed (93320) to evaluate blood flow changes during exercise or pharmacologically induced stress.
Documentation should include the indication for the study, the type of Doppler performed (pulsed wave and/or continuous wave), a description of the findings, including measurements of blood flow velocities, and the interpretation and diagnosis based on the study results.
- Payment Status: Active
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Independent Clinic, Mobile Unit, and other applicable places of service where echocardiography can be performed.