Tariff 2106 Transesophageal Echocardiography (TEE) may be claimed for TEE services provided and immediately following certain surgical services. The full description is as follows:

Intra-Operative/Peri-Operative Comprehensive Transesophageal Echocardiography (TEE) study includes setup and patient preparation, cardiac monitoring and re-evaluation, 2‑D study, colour flow mapping, Doppler study and M‑mode, interpretation and reporting per case.”


  1. This tariff shall only be claimed when provided by qualified anesthesiologists in relation to cardiac surgery, spine surgery, neurosurgery, vascular surgery or trauma surgery.
  2. Claims must include a relevant diagnostic code for the cardiac condition.
  3. Make only one claim per patient per operation

Billing Notes

As per note #2, Tariff 2106 may be claimed when the primary surgical procedure is related to cardiac, spine, neurosurgery, vascular surgery or trauma surgery.

  • Regardless of the primary surgical procedure indication, include an ICD code indicating the cardiac condition with the TEE service claim.
  • Payment for Tariff 2106 is 100% in addition to any other claims for anesthetic services for the patient that day.
  • It is possible to claim a second TEE service for the same patient on the same day, provided the patient underwent a second operation.
    • Suppose a TEE is performed by the anesthesiologist while the patient is in recovery from open-heart surgery. Bleeding is detected. The patient returns to the OR for a post-operative hemorrhage control procedure and the same anesthesiologist then performs a second TEE to confirm that there is no further bleeding.
  • In this situation, avoid the rejection of your claim as a duplicate by adding a remark such as second surgery performed.” Both claims for Tariff 2106 shall be paid at 100%. A second TEE will not be paid if the patient did not return to the OR.
  • Claim Tariff 2106 when the service is provided during the intra-operative or immediate post-operative period. Once the anesthesiologist has discharged the care of the patient to the ICU/ step-down unit, Tariff 2106 may not be claimed. The physician responsible for the patient’s post-operative care should consult the hospital’s echocardiography service if TEE services are required.
Last updated
April 8, 2021