{
    "code": "93356",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/93356/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/93356/2020/B",
    "description": "An extra analysis performed on a heart ultrasound that measures how much the heart muscle itself stretches and shortens with each beat, by tracking the natural speckle pattern of the muscle frame by frame in software. It detects weakening earlier than judging the ejection fraction by eye, because strain starts to fall while the overall pumping numbers still look normal. A common use is serial monitoring of patients on cancer drugs known to injure the heart.",
    "answer": {
        "question": "How much did Medicare pay for CPT 93356 in Q2 2020?",
        "text": "Medicare paid $40.78 for CPT 93356 in the office (non-facility) setting and $12.27 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "B",
        "label": "Q2 2020",
        "effective": "April 1 – June 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 40.78,
        "facility": 12.27,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.24,
        "practice_expense_non_facility": 0.87,
        "practice_expense_facility": 0.08,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q2 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/B",
        "file": "PPRRVU20_APR.csv",
        "row": 16198,
        "sha256": "672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b"
    },
    "modified_at": "2026-08-04T03:09:33+00:00"
}