2025 CPT code 93321
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Doppler Echocardiography Medicine Services and Procedures > Cardiovascular Procedures > Echocardiography Procedures Feed
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display, follow-up or limited study.This is an add-on code.
Modifier 26 (professional component) may be appended if the interpretation is performed separately from the technical component.
Medical necessity for 93321 is established when a limited Doppler echocardiogram is clinically indicated to evaluate a specific cardiac problem or region of the heart. This could include follow-up assessments of previously diagnosed conditions or evaluations of specific hemodynamic parameters.
The physician or qualified healthcare professional performs the echocardiogram, interprets the results, and prepares a report documenting findings, including measurements and abnormalities.This may include pulsed wave and/or continuous wave Doppler with spectral display to assess blood flow velocity and patterns.
- Medicine Services and Procedures > Cardiovascular Procedures > Echocardiography Procedures
- Cardiovascular Procedures > Echocardiography Procedures
In simple words: This test uses sound waves to create images of the heart and measure the speed and direction of blood flow. It's a follow-up or smaller version of a more comprehensive heart ultrasound and is reported in addition to the main heart ultrasound code.
This CPT code, 93321, reports Doppler echocardiography utilizing pulsed wave and/or continuous wave techniques with spectral display.It's specifically for follow-up or limited studies and must be reported in addition to a primary echocardiography code (e.g., 93303, 93304, 93308, 93312, 93314, 93315, 93317, 93350, 93351).The procedure involves the use of ultrasound to assess blood velocity and flow patterns within various cardiac and vascular structures.The spectral display graphically represents the velocity and direction of blood flow.Note that this code should not be used with code 93355.
Example 1: A patient with a history of mitral valve regurgitation undergoes a follow-up echocardiogram six months after surgery. Code 93321 is used to report the Doppler evaluation of the mitral valve to assess the severity of regurgitation., A patient presents to the emergency department with suspected pulmonary embolism. A limited echocardiogram (93308) is performed, and Doppler evaluation (93321) is added to assess right ventricular function and estimate pulmonary artery pressure., A patient with known hypertrophic cardiomyopathy has a follow-up echocardiogram to evaluate left ventricular outflow tract obstruction.Code 93321 is used to document the pulsed wave Doppler assessment of the outflow tract.
* Complete patient demographics and medical history.* Indication for the study.* Detailed description of the Doppler echocardiography performed (pulsed wave, continuous wave, spectral display).* All measurements obtained.* Images, videotapes, or digital data archived for permanent storage.* Interpretation and report documenting findings, including any abnormalities.* The reason for performing a limited study must be documented if the examination does not encompass all structures.
** Always refer to the most current CPT codebook and coding guidelines for the most up-to-date information on billing and coding for this procedure.Accurate documentation is crucial for appropriate reimbursement.
- Payment Status: Active
- Modifier TC rule: The technical component is typically billed by the facility.Modifier TC is not typically applied to this code.
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center, Emergency Room