CPT® Code 93318

Echocardiography, transesophageal (TEE) 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

Transesophageal echocardiography (TEE) is a specialized imaging technique used to obtain detailed images of the heart and its structures. This procedure is particularly valuable in situations where acute dynamic changes in cardiovascular function occur, such as during surgical interventions on the heart or aorta. TEE involves the placement of a probe equipped with a miniature high-frequency ultrasound transducer, which is inserted through the mouth and advanced into the esophagus. This positioning allows for closer proximity to the heart, enabling the acquisition of high-quality, real-time two-dimensional images. The ultrasound waves emitted by the transducer penetrate the heart and are reflected back, creating detailed images that are displayed on a video monitor. The continuous assessment of cardiac pumping function is crucial during procedures, as it allows for immediate interpretation of the heart's performance and the effects of any therapeutic measures being implemented. The monitoring physician plays a vital role in this process, as they are responsible for reporting any significant changes in cardiac function to the physician performing the intervention, facilitating timely adjustments to treatment to mitigate potential adverse effects on heart function.