The AMA CPT published a new add on CPT code +93319 for CY2022. As part of the discussion during the CPT Panel meeting, there were multiple stakeholders who provided suggested edits and modifications as part of the review process. The outcome from the AMA CPT Panel was to establish a new add-on code which must be utilized with a base echocardiography code: Congenital Transthoracic (CPT codes 93303, 93304) or Transesophageal Echocardiography (CPT codes 93312, 93314, 93315, 93317). During the iterative process noted above, a third party included Color Doppler CPT code +93325 in the exclusionary parenthetical.
ASE worked in conjunction with the pediatric echocardiography community and ACC to request an editorial edit to remove +93325. Unfortunately, the Panel’s interpretation of how Color Flow Doppler is utilized in the performance of +93319 placed in question the viability of this submission. While we have a different interpretation, it was concluded that there is not a viable path forward to change to the code.
Under these circumstances, ASE would like to share with you some code guidance. To use this new add-on code and be reimbursed properly, you must list this new CPT code, +93319, in addition to the appropriate base echocardiography code: Congenital Transthoracic CPT codes 93303, 93304.
| CODING TIP: CPT code +93319 must be utilized with a base echocardiography code: Congenital Transthoracic (CPT codes 93303, 93304) or Transesophageal Echocardiography (CPT codes 93312, 93314, 93315, 93317). CPT code +93319 should be appended when 3D imaging is provided during the imaging capture portion of the congenital study. If 3D rendering with image interpretation and image post-processing is performed post image capture, then utilize CPT codes 76376 and 76377. |
Note: CY2022 Physician Work RVU for each service is:
93303 – 1.30
93325 – 0.07
+93319 – 0.50
76376 – 0.20
76377 – 0.79