Myocardial Strain Imaging Add-on CPT Code and Live Webinar

ASE is proud to see the establishment of Current Procedural Terminology (CPT) add-on code +93356® to report myocardial strain imaging in conjunction with various transthoracic echocardiography procedures. The successful CPT application was a collaboration between ASE and the American College of Cardiology and will be effective for Medicare claims beginning today, January 1, 2020. This is the first new echo technology to achieve CPT editorial panel category 1 status in a decade! 

The code is intended to report myocardial strain imaging in conjunction with various transthoracic echocardiography procedures 93303, 93304, 93306, and 93308 in addition to stress echocardiography services 93350 and 93351. Additionally, the intent is for this code to be reported once per imaging session. Additional information on this code can be found on ASE’s Advocacy website.

Want to learn more? Join us for a live webinar on the 2020 Reimbursement Updates including the New Strain Code +93356, Friday, January 10, at 10:00 AM Eastern Time. The webinar will be presented by Michael Main, MD, FASE, ASE Advocacy Chair and RUC and CPT Advisor, and Denise Garris, ASE’s regulatory consultant and an expert in health policy and reimbursement.

This educational webinar will focus on the latest HOPPS and physician fee schedule (PFS) changes to echo reimbursement and help you prevent the most common errors in echo coding. Specific focus will be given to the new Myocardial Strain Imaging, CPT Code +93356. ASE would like to help the entire cardiovascular community, so this webinar is free for everyone. Please encourage your administrative and billing personnel to participate.  Register now to save your space. Specific questions regarding webinar registration can be sent to Jenn Goss at  JGoss@ASEcho.org.

December GEMs

During the month of December, two ASE members recognized  their colleagues for Going the Extra Mile and received a GEM award!

  • Sarika Anand
  • Heidi Borchers

Active members of ASE are encouraged to recognize their peers as a “GEM” for Going the Extra Mile (GEM). Whether it’s for their dedication to the field of cardiovascular ultrasound, being an outstanding mentor to students or fellows, their commitment to quality patient care, going above and beyond in the past month, a milestone service anniversary, or congratulating them on a major accomplishment. No matter the reason, it is always worth recognizing your peers. Help us celebrate ASE members making the world a better place. Learn more here .

Join ASE at ACC’s Cardiovascular Summit

ASE is pleased to be a part of  ACC’s 2020 Cardiovascular Summit, February 6-8, in Washington, D.C. We encourage you to attend and experience how to align strong leadership with up-to-date business strategies to improve cardiovascular (CV) care and patient outcomes. The Summit will also cover how to implement more efficient spending, while improving the CV clinician experience. ASE President-elect Judy Hung, MD, FASE, will participate in the Joint Society Plenary Session: Imaging for CAD: Where Is the Sweet Spot for Each Modality? Dr. Hung and James Kirkpatrick, MD, FASE, along with ACC Vice President Athena Poppas, MD, FASE, will present the ASE Workshop Echo Best Practice: Limited Echoes’ Hand Held – What Is the Future? Register today  for the best rate. ASE members receive the ACC member rate and discounts are available for groups of 3 or more!

Happy Holidays from ASE

New ASE Product: Case-based Series: Fundamentals of Strain Imaging

ASE is thrilled to announce that a Case-based Series, Fundamentals of Strain Imaging is now available online. Developed by ASE experts, this course features case-based video presentations highlighting a practical “how-to” approach. The focus is on using global longitudinal strain (GLS) by echocardiography to measure cardiac function as an additive for evaluating left ventricular ejection fraction to improve patient care. The case studies demonstrate several different strain software approaches.

Purchase yours today for ASE member pricing of only $95 for one user license. Member discounted pricing is also available on 5 and 10 user licenses. This course offers 3 AMA PRA Category 1 Credits™ and 3 ABIM MOC and ABA MOCA points. Learn more at ASEUniversity.org.

ASE members receive a discount on all products, so do not forget to log in to the member portal before purchasing.

Share Your Love for ASE this Holiday Season!

Show your friends and colleagues that you value their contribution to the cardiovascular ultrasound profession by giving them the gift of ASE membership.

Top 5 Reasons to Give ASE Membership:
5. They will receive free learning opportunities which are also CME/MOC credits.

  1. They will get immediate access to the latest cardiovascular ultrasound news, guidelines, and research!
  2. They will have ample opportunities for leadership and professional development.
  3. They can easily connect and network with other echo-enthusiasts from across the globe.
  4. It’s the gift that keeps giving, 365 days a year!

Call 919-297-7172 or email Suzanne Morris at SMorris@ASEcho.org to purchase memberships for others! Remember if you gift five new memberships, YOU get a free membership in 2021! This is a great way to use any leftover money you might have in your budget for 2019. We will notify the gift recipients of this special gift by email and would be happy to customize the message on your behalf.

Please contact us by December 18th to be sure your gift memberships are processed and your colleagues are notified before the holiday.

Call for Committee Volunteers Now Open

ASE depends on its members to get involved and advance our mission. Our volunteers help set standards, develop products, create courses, direct subspecialty activities, advocate for echo on the federal and state levels, and so much more. If you are a new volunteer interested in serving on an ASE committee or a member currently serving on a committee and would like to continue to serve, log in to your ASE member portal, click on “Resources” on the top menu bar, select “Call for Committee Volunteers” from the dropdown, and complete the interest form and annual disclosure statement.

The application process will remain open through January 6, 2020. The term of service for new appointments will be July 2020-June 2021.

Call for Officers and Board Nominations Deadline Approaching

ASE is seeking the best and brightest members to move forward the mission and goals of the Society and the ASE Foundation. Now is your opportunity to become a leader in ASE/ASEF. Active members who meet the criteria outlined on the Open Positions and Criteria page, ask a friend or colleague who is also a member to submit a nomination on your behalf. Positions are available on the ASE Board of Directors, ASE Foundation Board of Directors, and ASE Council Steering Committees. With ASE’s new governance structure, the ASE Foundation Board is now a separate entity from the ASE Board of Directors.  All positions are open to any member regardless of specialty (sonographer, pediatrician, critical care, anesthesiologist, etc.). ASE is looking for a diverse pool of nominees.

The process is easy and guidelines for submitting nominations can be found on ASE’s nominations page. The deadline for submission of nominations is November 29, 2019. Ask an active ASE member TODAY to submit your nomination. Please contact Nominations@ASEcho.org with any questions or to submit nominations.

CMS Finalizes 2020 Medicare Reimbursement Rules

On Friday, November 1, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2020 final rules for the Physician Fee Schedule (PFS), Outpatient Prospective Payment System (OPPS) and Quality Payment Program, which includes several significant policy and payment changes impacting our U.S.-based members.

A new echo technology achieved CPT editorial panel category 1 status for the first time in decades! The new Myocardial Strain Imaging CPT Code +93356 recognizes that strain imaging has a great diagnostic and therapeutic value for improving patient care. Thank you to all the ASE members who helped document their use of myocardial strain imaging in an effort to gain this new CPT Code that can be used beginning January 1, 2020.

There will be a slight increase in Medicare Physician Fee Schedule (PFS) conversion factor. The CY 2020 PFS conversion factor was finalized at $36.09, a slight increase above the CY 2019 PFS conversion factor of $36.04.

A topline summary of the most important changes to the payment rates and policies for services paid under Medicare is available online. ASE is currently reviewing the details of the final rules and will be providing comments for those items that remain open for comment. We will keep you updated as we learn more. In the meantime, the proposed rules are available at:

MPFS Rule Text: Final Rule          CMS Fact Sheet

OPPS Rule Text: Final Rule          CMS Fact Sheet

For more information visit the Advocacy web page. If you have any questions please email Irene Butler, Vice President of Health Policy at IButler@ASEcho.org.

Groundbreaking Content in November JASE

The November JASE contains  “Similarities and Differences in Left Ventricular Size and Function among Races and Nationalities: Results of the World Alliance Societies of Echocardiography Normal Values Study,” by Federico M. Asch, MD, FASE, et al. Dr. Asch said that, “The clinical usefulness of echocardiography is based on the detection of abnormalities, which relies on the accurate definition of “normality” across different countries or races. Currently, available echocardiographic ‘reference values’ that define ‘normality’ are mostly based on cross-sectional observations of Caucasians from the United States and Europe. The WASE study evaluated individuals from multiple countries and races with the aim of describing normative values that could be applied to the global community world-wide, and to determine differences and similarities among people from different countries and races. The current report focuses specifically on 2D left ventricular dimensions, volumes, and function.”

Other papers in this issue cover prognostic value of LV and RV ejection fractions measured by 3D echo, several papers on echo in percutaneous valve interventions, a paper on the influences of basal septal thickening on myocardial strain measurements, the novel role for myocardial strain assessment in HFpEF, assessment of aortic coarctation by fetal echo, and a pre-clinical investigation on the imaging of ischemic memory complemented by an editorial, “Ischemic Memory Imaging: The Quest for the Holy Grail Continues,” by Yin Ge, MD, and Howard Leong-Poi, MD, FASE. A brief research communication explores the feasibility and reproducibility of transthoracic echo in obese patients. The 20th Annual Feigenbaum Lecture topic on Precision Medicine that was presented in June is also included. The President’s Message by Madhav Swaminathan, MD, MMCi, FASE, explores ASE’s exciting new Leadership Academy and its inaugural group of outstanding members. The Sonographers’ Communication by Neha Soni-Patel, BS, RDCS, (AE/PE), RCCS, FASE, looks at barriers to sonographer education, and becoming life-long learners.