2025 CPT code 93325
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Doppler Echocardiography Cardiovascular System Feed
Doppler echocardiography color flow velocity mapping; this code is listed separately in addition to codes for echocardiography.
Modifiers may be applicable depending on the circumstances.For instance, modifier 26 is used to indicate the professional component when billed separately from the technical component.Other modifiers might be used depending on the context.
Medical necessity for 93325 is established when there is a clinical indication suggesting a need to evaluate intracardiac blood flow and hemodynamics.Examples include suspected valvular disease, heart failure, suspected pulmonary hypertension, and evaluation of congenital heart disease.The referring physician's documentation should clearly justify the need for this specific component of the echocardiogram.
The clinical responsibility for this procedure involves a physician (cardiologist, echocardiographer, or other qualified healthcare professional) who interprets the images and provides a written report, documenting findings and relevant measurements. A sonographer typically performs the technical aspects of the echocardiogram, acquiring the images under the physician's supervision.
In simple words: This test uses sound waves to create moving pictures of blood flow in your heart. It shows how fast and in what direction the blood is moving, helping doctors see if there are any problems with blood flow in the heart.
This CPT code, 93325, represents Doppler echocardiography with color flow velocity mapping.It involves the use of ultrasound technology to create a two-dimensional image representation of blood flow within the heart, showing both velocity and direction. This comprehensive procedure provides detailed information on intracardiac blood flow and hemodynamics, supplementing the standard echocardiogram.It is reported separately and in addition to other echocardiography codes (e.g., 93306, 93307, 93308).The procedure includes image acquisition, measurements, interpretation, and documentation of findings in a written report. This code is not used with 93355.
Example 1: A patient presents with shortness of breath and chest pain. A complete transthoracic echocardiogram (TTE) (93306) with color Doppler (93325) is performed to assess for valvular dysfunction and abnormalities in blood flow., A patient with a history of heart failure undergoes a follow-up limited echocardiogram (93308) with color Doppler (93325) to evaluate the effectiveness of treatment and monitor for changes in cardiac function., A patient with suspected pulmonary embolism undergoes a TTE (93306) with color Doppler (93325) to assess for right heart strain and thrombus detection in the pulmonary arteries.
Detailed documentation is necessary for proper coding and reimbursement.This should include the patient's history, clinical indication for the test, the echocardiogram report (with specific findings, measurements, and interpretations), and the images or digital data from the study.The report must clearly link the findings to the medical necessity.
** Always refer to the most current CPT codebook and payer-specific guidelines for the most accurate and up-to-date information on coding and billing for 93325.Documentation is key to proper reimbursement. This information is current as of December 3, 2024.
- RVU: The RVUs for this code will vary depending on the geographic location and other factors. Consult your local Medicare fee schedule or your payer's specific reimbursement rates.
- Global Days: Not applicable; this is a diagnostic test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not typically applicable to 93325, as this code represents a professional service (interpretation and report), but the technical component is usually included in the global service with other echocardiogram CPT codes.
- Fee Schedule: Historical fee schedule data is available through various sources, including the CMS website and private payer fee schedules.These should be consulted to understand the historical reimbursement rates for 93325.
- Specialties:Cardiology, Cardiovascular Surgery, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Emergency Room, other locations as clinically appropriate.