93319 3d echo img cgen car anomal
What 93319 is
CMS fee schedule short descriptor: 3d echo img cgen car anomal.
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 93319 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.49 | 1.14 | 0.04 | 1.67 | $55.78 |
| Facility (hospital, ASC) | 0.49 | 0.09 | 0.04 | 0.62 | $20.71 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 93319 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 93319? These codes are bundled into it
93319 is a Column 1 code in 1 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 code | Short description | Modifier indicator | |
|---|---|---|---|
93325 | Doppler echo color flow mapg | 0 - no modifier bypass | Check pair |
93319 is bundled into these codes
93319 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 93319 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0863T | Rlcj pg wcs lv trnsmtr only | 0 | Check pair |
76376 | 3d render w/intrp postproces | 0 | Check pair |
76377 | 3d render w/intrp postproces | 0 | Check pair |
93355 | Echo transesophageal (tee) | 0 | Check 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.