Avoiding common mistakes in cardiology coding is essential for smooth operations and day-to-day activities of cardiology practice. Cardiology coding mistakes could lead to decreased revenue, compliant risks, increased admin workload, practice reputation damage, and increased healthcare costs. The impact of cardiology coding mistakes can be far-reaching and costlier than just reduced reimbursements. It’s always advisable […]
Avoiding Common Mistakes in Cardiology Coding
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Medical Billing for Cardioversion
Basics of Cardioversion Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or other cardiac arrhythmia is converted to a normal rhythm using electricity or drugs. For medical billing purposes, cardioversion has been coded as an external and internal procedure. CPT codes 92960 (cardioversion, elective, electrical conversion of arrhythmia; external) and […]
Reduce Cardiology Denials with Proper Documentation
Importance of Proper Documentation in Cardiology Billing A lot of cardiology claims got denied due to improper and incomplete documentation. It’s really frustrating not to receive insurance reimbursement for the delivered services, though you completed all steps in cardiology medical billing. While focussing on billing and coding guidelines, sometimes cardiologists might not maintain proper documentation. […]
Appropriate Use of Modifier 25 in Cardiology
Defining Modifier 25 Modifier 25 is defined as a significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service. It may be necessary to indicate that on the day a procedure or service identified by a CPT code […]
Billing Guidelines for Leadless Pacemakers
NCD for Leadless Pacemakers The leadless pacemaker eliminates the need for a device pocket and insertion of a pacing lead which are integral elements of traditional pacing systems. The removal of these elements eliminates an important source of complications associated with traditional pacing systems while providing similar benefits. Leadless pacemakers are delivered via catheter to […]
ICD-10 Codes for Myocardial Infarction (Type 1 and Type 2)
Myocardial Infarction has defined six types of MI. The two most commonly encountered are type 1 (primarily due to CAD) and type 2 (primarily due to myocardial supply/demand mismatch). For these two types, MI is defined as myocardial necrosis identified by a rise and/or fall of cardiac biomarkers to or from a level greater than […]
Things to know about Cardiology Billing and Coding
Cardiology billing and coding are complex for several reasons. This specialty experiences regular amendments of key procedure rules, complex contractual adjustments, and codes, and that is the reason while using the modifiers requires attention. However, we know the complexities of this specialty and with many happy clients, we have focussed in providing correct cardiology billing […]
CARDIAC CATHETERIZATION CPT CODE
Cardiac catheterization is a procedure that allows the doctor to see how well your blood vessels supply your heart. This process is used to diagnose and treat certain cardiovascular conditions. During this procedure, a catheter (long thin tube) is inserted in an artery or vein in your groin, neck, or arm and threaded through your […]
Documentation Guidelines for Cardiology
Specifying anatomical location and laterality required by ICD-10 is easier than you think. This detail reflects how physicians and clinicians communicate and to what they pay attention to – it is a matter of ensuring the information is captured in your documentation. In ICD-10-CM, there are three main categories of changes Definition Change; Terminology Differences; […]
Cardiology Billing and Coding Updates: 2021
Cardiology billing services are designed to help you maximize collections by meeting government regulations and private payer requirements. Since 2016 when ICD-10 became the official code set for the United States we saw several changes to cardiovascular diagnosis codes. No more hypertension table, we now have a new way to code hypertension (I10 – I15). […]