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93315 Echo transesophageal

What 93315 is

CMS fee schedule short descriptor: Echo transesophageal.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 93315 (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 93315 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 93315? These codes are bundled into it

93315 is a Column 1 code in 35 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36005Injection ext venography1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
43191Esophagoscopy rigid trnso dx1 - modifier may bypassCheck pair
43197Esophagoscopy flex dx brush1 - modifier may bypassCheck pair
43200Esophagoscopy flexible brush1 - modifier may bypassCheck pair
76998Us guide intraop1 - modifier may bypassCheck pair
93000Electrocardiogram complete1 - modifier may bypassCheck pair
93005Electrocardiogram tracing1 - modifier may bypassCheck pair
93010Electrocardiogram report1 - modifier may bypassCheck pair
93040Rhythm ecg with report1 - modifier may bypassCheck pair
93041Rhythm ecg tracing1 - modifier may bypassCheck pair
93042Rhythm ecg report1 - modifier may bypassCheck pair
93316Echo transesophageal0 - no modifier bypassCheck pair
93317Echo transesophageal1 - modifier may bypassCheck pair
96360Hydration iv infusion init1 - modifier may bypassCheck pair
96365Ther/proph/diag iv inf init1 - modifier may bypassCheck pair
96374Ther/proph/diag inj iv push1 - modifier may bypassCheck pair
96375Tx/pro/dx inj new drug addon1 - modifier may bypassCheck pair
96376Tx/pro/dx inj same drug adon1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
99155Mod sed oth phys/qhp <5 yrs0 - no modifier bypassCheck pair
99156Mod sed oth phys/qhp 5/>yrs0 - no modifier bypassCheck pair
99157Mod sed other phys/qhp ea0 - no modifier bypassCheck pair
99446Ntrprof ph1/ntrnet/ehr 5-100 - no modifier bypassCheck pair

Showing 30 of 35 column 2 codes. Use the pair checker for any specific combination.

93315 is bundled into these codes

93315 appears as a Column 2 code in 304 active edits. Reported with one of these Column 1 codes on the same date of service, 93315 is the code that denies.

Column 1 codeShort descriptionModifier indicator
00100Anes px salivary gland w/bx1Check pair
00102Anes px plstc rpr cleft lip1Check pair
00103Anes rcnstv px eyelid1Check pair
00104Anes electroconvulsive ther1Check pair
00120Anes px ear w/bx nos1Check pair
00124Anes px ear otoscopy1Check pair
00126Anes px ear tympanotomy1Check pair
00140Anes procedures on eye nos1Check pair
00142Anes px on eye lens surgery1Check pair
00144Anes px eye corneal trnspl1Check pair
00145Anes px eye vitreortnl surg1Check pair
00147Anes px on eye iridectomy1Check pair
00148Anes px eye ophthalmoscopy1Check pair
00160Anes px nose&sinus nos1Check pair
00162Anes px nose&sinus rad surg1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.