Brazil Reimbursement for AI Echocardiography
Coding and reimbursement pathways in Brazil for echocardiography across both the public SUS system (SIGTAP, Ministério da Saúde) and the ANS-regulated private supplementary health system (TUSS).
Reimbursement Landscape in Brazil
Brazil operates a dual system: SUS (public, free at point of care) via SIGTAP procedure codes, and saúde suplementar (private health insurance, regulated by ANS) via the TUSS terminology. Tariff levels differ markedly between the two tracks; ANS-regulated private operadoras typically pay multiples of the SUS rate for the same procedure.
SUS / SIGTAP
The Sistema Único de Saúde is Brazil's universal public health system. Hospital and outpatient activity is recorded against SIGTAP codes (Sistema de Gerenciamento da Tabela de Procedimentos). Tariffs are typically materially below private rates and split between profissional (SP) and hospital (SH) components.
ANS / TUSS
The Agência Nacional de Saúde Suplementar (ANS) regulates private operadoras (Bradesco Saúde, Amil, Hapvida, SulAmérica, etc.). The Rol de Procedimentos defines mandatory covered procedures; TUSS codes are used for inter-operator billing.
ANVISA Regulation
Software classified as a medical device requires ANVISA registration. Us2.ai is registered with ANVISA, and the MDSAP audit programme covers Brazil alongside the US, Canada, Japan, and Australia.
Relevant Coding
SIGTAP codes for SUS billing and TUSS codes for private supplementary health. SUS tariffs are split into SP (serviço profissional) and SH (serviço hospitalar) components.
TTE (Standard, Public)
Ecocardiografia transtorácica. Standard 2D TTE with colour Doppler under the SUS / SIGTAP national tariff table.
Federal SIGTAP value: <strong>R$ 67.86 SH (hospitalar)</strong> + R$ 0 SP, competência 2025/2026. State and municipal complementary payments (Fator Regional, PPI) typically add R$ 192 to R$ 258 per study; some regional CISs (consórcios) settle the procedure at R$ 230 to R$ 326 in total. AI-assisted measurement and reporting supports the cardiologist or accredited sonographer interpretation within this code.
TEE (Transesophageal, Public)
Ecocardiografia transesofágica. Covered by SUS via the Relação Nacional de Ações e Serviços de Saúde (RENASES).
Federal SIGTAP value: <strong>R$ 165.00 SH</strong> + R$ 0 SP. Used predominantly for valvular and intra-cardiac assessment in SUS reference centres; with regional complementary payments total settlements commonly fall in the R$ 350 to R$ 515 range.
Stress Echo (Public)
Ecocardiografia de estresse. Exercise or dobutamine stress echocardiography under SUS.
Federal SIGTAP value: <strong>R$ 165.00 SH</strong> + R$ 0 SP. Stress echo availability in SUS is concentrated at reference centres; with regional complementary payments (which for stress echo are typically the largest of the cardiac group) total settlements range up to R$ 760. AI-assisted strain supports interpretation across multi-physician academic teams.
TTE (Private Supplementary)
Ecodopplercardiograma transtorácico. TUSS code under the ANS Rol de Procedimentos for billing private supplementary-health insurers.
Tariffs are negotiated bilaterally between operadoras (Bradesco Saúde, Amil, Hapvida, SulAmérica etc.) and accredited providers; per-study revenue typically falls in the <strong>R$ 300 to R$ 800</strong> range, materially above the SUS settlement. The related TEE TUSS code is 40901092 (Ecodopplercardiograma transesofágico, includes transtorácico).
Federal SIGTAP values reflect the published Ministério da Saúde tariff at the competência shown above. State and municipal complementary payments (Fator Regional, PPI, FAEC, Programa de Qualificação) add per-study amounts that vary materially by region; consult the relevant Secretaria de Saúde or consórcio (CIS) table for the local settlement. Private TUSS tariffs are negotiated bilaterally between operadora and provider. Verify against current SIGTAP and the live operadora contract.
Model the impact on your service
Enter your annual echo volume across SUS and private supplementary streams to model net new capacity.
Reimbursement by Care Setting
Brazil's dual system produces different value cases by care setting: SUS volume is the largest pool; private supplementary health offers higher per-study revenue.
SUS Public
Hospital, ambulatory, and reference-centre echo studies billed against SIGTAP. Federal funding flows via DataSUS based on coded activity.
SUS volume is the largest single pool of cardiac imaging in Brazil; AI-assisted reporting supports throughput within annual programmation envelopes.
Private Supplementary (ANS)
Private operadoras and accredited providers settle on TUSS-based contracts. Hospitalar fees, materiais, and physician fees may be bundled or itemised.
Per-study revenue is materially higher than SUS. AI value case combines throughput and report quality for accredited cardiology services.
Particular / Self-Pay
Self-paying patients pay the cardiologist's particular schedule directly. Common in private clinics in urban centres.
Brazilian Procurement & Regulatory Context
AI echocardiography software in Brazilian hospitals and clinics is assessed against ANVISA registration, LGPD data protection, and CFM resolutions on telemedicine and AI-assisted clinical decisions.
ANVISA Registration
Software classified as a medical device requires ANVISA registration under RDC 751/2022. Us2.ai is registered with ANVISA; the MDSAP audit programme covers Brazil.
LGPD & CFM
The Lei Geral de Proteção de Dados (LGPD) governs personal-data processing. CFM resolutions (e.g. 2.314/2022 on telemedicine) frame AI-assisted clinical decision-making in cardiology.
MDSAP & Data Residency
MDSAP single audit covers ANVISA alongside US, Canada, Japan, and Australia, reducing audit overhead. South America-region cloud hosting and on-premise options are supported for Brazilian customers.
Frequently Asked Questions
Common questions about echocardiography coding and reimbursement in Brazil.
What is SIGTAP and how does SUS pay for echo?
What is TUSS and how does it differ from SIGTAP?
Is Us2.ai registered with ANVISA?
How does LGPD affect AI echocardiography deployment?
Are there Brazil-specific codes for AI echocardiography?
What is the role of the Programa de Qualificação?
How is data residency handled?
Where can I get Brazil-specific reimbursement guidance?
Important Information
Information is provided for general informational purposes only and is not a guarantee of coverage or reimbursement. SUS SIGTAP tariffs and ANS Rol de Procedimentos TUSS contracts are subject to change. Providers should verify against the current SIGTAP and the live operadora contract. SIGTAP is maintained by Ministério da Saúde; TUSS by ANS / AMB.
Questions about Brazil Reimbursement?
Our team can support business cases for SUS reference centres, private hospital groups, and operadora-contracted clinics with current SIGTAP and TUSS context, ANVISA documentation, and clinical evidence.
Contact Us