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3D echocardiography (3DE) is a sophisticated imaging technique that provides detailed visualization of the heart's structures and functions. This procedure is particularly valuable in the management of congenital cardiac anomalies, as it allows for a comprehensive assessment of various cardiac components, including the cardiac chambers, valves, left atrial appendage, interatrial septum, and interventricular septum. The technology employs specialized transducers that can be either small, high-frequency types suitable for pediatric patients or larger versions for adults. These transducers are designed to capture real-time three-dimensional images of the heart while it is in motion, enhancing the clinician's ability to evaluate cardiac morphology and function. The 3DE system utilizes advanced computer post-processing techniques to analyze the acquired datasets, providing critical information that aids in pre-surgical planning and guides interventional catheter placements. The transducers used in 3DE feature a matrix array of thousands of piezoelectric crystals, which are arranged in a grid pattern. This configuration allows for independent activation, focusing, and steering of the ultrasound beam across multiple planes, thereby covering the entire three-dimensional volume necessary for a thorough evaluation. The ultrasound waves emitted by the transducers penetrate the heart, and the reflected sound waves are captured and converted into real-time images displayed on a video monitor. It is important to report CPT® code 93319 separately in addition to the primary echocardiography imaging code when this procedure is performed.
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The 3D echocardiographic imaging procedure is indicated for the assessment of various cardiac structures and functions, particularly in patients with congenital cardiac anomalies. The specific indications include:
The procedure for 3D echocardiographic imaging involves several key steps to ensure accurate assessment of cardiac structures. These steps include:
After the 3D echocardiographic imaging procedure, patients may be monitored for any immediate post-procedural effects, especially if transesophageal echocardiography was performed. Patients are typically advised to rest and may be observed for a short period to ensure there are no complications. The results of the echocardiographic assessment are then analyzed, and a report is generated to guide further clinical decision-making. Follow-up appointments may be scheduled to discuss findings and any necessary interventions based on the assessment results.
| Short Descr | 3D ECHO IMG CGEN CAR ANOMAL | Medium Descr | 3D ECHO IMG&PST-PXESSING TEE/TTE CGEN CAR ANOMAL | Long Descr | 3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) (eg, cardiac chambers and valves, left atrial appendage, interatrial septum, interventricular septum) and function, when performed (List separately in addition to code for echocardiographic imaging) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 93303 | MPFS Status: Active Code APC S PUB 100 CPT Assistant Article Transthoracic echocardiography for congenital cardiac anomalies; complete | 93304 | MPFS Status: Active Code APC S PUB 100 CPT Assistant Article Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study | 93312 | MPFS Status: Active Code APC S PUB 100 CPT Assistant Article Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report | 93314 | MPFS Status: Active Code APC N PUB 100 CPT Assistant Article Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only | 93315 | MPFS Status: Carrier Priced APC S PUB 100 CPT Assistant Article Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report | 93317 | MPFS Status: Carrier Priced APC N PUB 100 CPT Assistant Article Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q5 | Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2022-01-01 | Added | Code added |
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