Billing and Coding: Transesophageal Echocardiography (TEE)

This policy provides coding, billing, and documentation guidance for Transesophageal Echocardiography (TEE). Key points: report R93.1/R93.8 when TEE is performed for inadequate TTE visualization and Z01.89 for intraoperative TEE; certain CPTs (93315/16/17) are reserved for congenital anomalies and 93355 is used for TEE during transcatheter intracardiac therapies (once per intervention). Administrative rules include required written reports and image retention, mandatory ICD-10 diagnosis codes on claims, sedation bundled into TEE procedure codes, and frequency limits of two TEEs per year (four per year for endocarditis I39) with inpatient exceptions.

"Transesophageal echocardiography (TEE) is indicated when transthoracic echocardiography (TTE) provides inadequate visualization of cardiac anatomy for structures normally visualized by TTE; report ..."

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