CMS Pub. 100-04, ch. 4, § 200.7.2

Hospitals are instructed to bill for echocardiograms with contrast using the applicable

HCPCS code(s) included in Table 200.7.2 below. Hospitals should also report the

appropriate units of the HCPCS codes for the contrast agents used in the performance of

the echocardiograms.

Table 200.7.2 - HCPCS Codes For Echocardiograms With Contrast

HCPCS Long Descriptor

C8921

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, for congenital cardiac anomalies;

complete

C8922

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, for congenital cardiac anomalies;

follow-up or limited study

C8923

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, real-time with image documentation

(2D), includes M-mode recording, when performed, complete,

without spectral or color Doppler echocardiography

C8924

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, real-time with image documentation

(2D), includes M-mode recording, when performed, follow-up or

limited study

C8925

Transesophageal echocardiography (TEE) with contrast, or without

contrast followed by with contrast, real time with image

documentation (2D) (with or without M-mode recording);

including probe placement, image acquisition, interpretation and

report

HCPCS Long Descriptor

C8926

Transesophageal echocardiography (TEE) with contrast, or without

contrast followed by with contrast, for congenital cardiac

anomalies; including probe placement, image acquisition,

interpretation and report

C8927

Transesophageal echocardiography (TEE) with contrast, or without

contrast followed by with contrast, for monitoring purposes,

including probe placement, real time 2-dimensional image

acquisition and interpretation leading to ongoing (continuous)

assessment of (dynamically changing) cardiac pumping function

and to therapeutic measures on an immediate time basis

C8928

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, real-time with image documentation

(2D), includes M-mode recording, when performed, during rest

and cardiovascular stress test using treadmill, bicycle exercise

and/or pharmacologically induced stress, with interpretation and

report

C8929

Transthoracic echocardiography with contrast, or without contrast

followed by with contrast, real-time with image documentation

(2D), includes M-mode recording, when performed, complete,

with spectral Doppler echocardiography, and with color flow

Doppler echocardiography

C8930

Transthoracic echocardiography, with contrast, or without contrast

followed by with contrast, real-time with image documentation

(2D), includes M-mode recording, when performed, during rest

and cardiovascular stress test using treadmill, bicycle exercise

and/or pharmacologically induced stress, with interpretation and

report; including performance of continuous electrocardiographic

monitoring, with physician supervision