Why Cardiology billing is different.
Cardiology billing expertise.
- Diagnostic testing: ECG, echo, Holter and event monitoring
- Cardiac catheterization and PCI coding
- Pacemaker and ICD implant, revision and interrogation billing
- Remote cardiac device monitoring claims
- Nuclear cardiology and stress testing with correct component billing
- Modifier -26 and -TC use for hospital versus office settings
- Global surgical period tracking for interventional procedures
- LCD and NCD documentation checks before submission
Common Cardiology codes we work with.
| Code | Description |
|---|---|
93000 | Electrocardiogram, routine ECG with at least 12 leads, with interpretation and report |
93306 | Transthoracic echocardiography, complete, with spectral and color flow Doppler |
93458 | Left heart catheterization with coronary angiography and left ventriculography |
93351 | Stress echocardiography with continuous ECG monitoring and physician supervision |
93015 | Cardiovascular stress test with physician supervision, interpretation and report |
33249 | Insertion or replacement of permanent implantable defibrillator system with transvenous leads |
CPT® is a registered trademark of the American Medical Association. Codes shown are examples; correct coding depends on documentation and payer policy.
Our processCardiology billing process.
Registration and Insurance Verification
- Benefit checks for diagnostic and interventional services
- Prior authorization for nuclear, echo and catheterization studies
- Device coverage verification before implants
- Patient cost estimates for high-deductible plans
Specialized Cardiology Coding
- Diagnostic and interventional procedure coding
- Device and lead coding with correct approach
- Professional and technical component modifiers
- Documentation review against LCD requirements
Clean Claim Submission
- Claim scrubbing against payer-specific cardiology edits
- Medical necessity diagnosis linking
- Correct code sequencing for multi-vessel procedures
- Electronic submission within 24 hours of charge entry
Cardiology Denial Management
- Medical necessity appeals with supporting test results
- Bundling and NCCI edit disputes
- Device and implant claim appeals
- Payer policy monitoring to prevent repeat denials
Practice Analytics
- Revenue by procedure and service line
- Payer reimbursement comparisons
- Denial trends by test type
- Recommendations to improve collections
Cardiology billing FAQs.
Why do echocardiograms and stress tests get denied so often?
Most denials come from diagnosis codes that don't meet the payer's coverage policy or from missing documentation of symptoms. We check orders against the applicable LCD before the claim goes out and link the diagnosis that supports medical necessity.
How do you bill cardiac device implants?
Device implants require coding the generator, leads and approach correctly, plus tracking the global period for follow-up visits. We also bill device interrogations and remote monitoring separately when the rules allow it.
How do you handle professional versus technical billing?
When your cardiologists read studies performed in a hospital, we bill the professional component with modifier -26. When the test is performed in your office on your equipment, we bill the global service so you capture both components.
How do you keep up with annual cardiology code changes?
Our coders review CPT, NCCI and payer policy updates every year and adjust your charge masters and claim edits before changes take effect, so new codes don't cause a spike in denials.