Coding Guidelines for Cardiac Catheterization

Cardiac catheterization is a medical procedure that involves the insertion of a thin, flexible tube (catheter) into a blood vessel in the arm, groin, or neck, and guiding it to the heart. This is an essential procedure for the diagnosis and treatment of heart-related conditions. To ensure the accuracy and safety of cardiac catheterization, coding […]

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Accurately Billing CPT 75716

CPT 75716 Description CPT 75716 refers to a radiological procedure known as “Angiography, extremity, unilateral, radiological supervision and interpretation.” This procedure involves the use of X-rays to examine the blood vessels in one extremity (arm or leg) to diagnose conditions such as blockages, narrowing, or aneurysms. It requires a contrast medium to be injected into […]

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Avoiding Common Mistakes in Cardiology Coding

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 […]

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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 […]

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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. […]

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Appropriate Use of Modifier 25 in Cardiology

Defining Modifier 25 Modifier 25 is 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 was performed, […]

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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 […]

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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 […]

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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 why using the modifiers requires attention. However, we know the complexities of this specialty and with many happy clients, we have focused on providing correct cardiology billing […]

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