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Cardiology Coding Alert

CPT® 2020 Guidelines:
Here's How to Effectively Use New Pericardium and Aortic Graft CPT® 2020 Guidelines
Hint: Don't report 99473 more than once per device. As you learned in the article “Adop... Read more
Case Study:
Solve This Cardiac Stress Test Scenario to Perfect Your Reporting Smarts
Use the scenario details to arrive at an answer. A reader recently wrote in with a cardia... Read more
Quiz:
5 Quick Questions Answer Your Medicare Signature Conundrums
Remember: Consider a signature log or attestation statement if the provider's signature is... Read more
Reader Question:
Dial Into New CPT® 2020 Online E/M Code
Question: One of my colleagues said that CPT® 2020 will delete current online E/M code 99... Read more
Reader Question:
Mark Down ICD-10 2020 Atrial Fibrillation Codes
Question: Did ICD-10 2020 add any new codes for atrial fibrillation? If so, what are they?... Read more
Reader Question:
Master Importance of Medical Necessity
Question: I was wondering if you could help me understand the correct definitions for... Read more
Reader Question:
Follow This Advice When Reporting Multiple Physicians for ECMO
Question: I'm currently coding a case where two physicians were involved during an ECMO/EC... Read more
You Be the Coder:
Sharpen Transtelephonic Pacemaker Evaluation Skills
Question: My cardiologist performed a 93293 service. What are the rules for the monitoring... Read more
CPT®:
Execute Perfect Limited EP Study Claims With This Expert Advice
Never report codes 93612 or 93618 in conjunction with comprehensive EP study codes 93619-+... Read more
CPT® Updates Part 2:
Dig Into New and Deleted Cardiology T-Codes Before Jan. 1
Remember: Category III codes (also known as “T-codes”) are temporary codes for emergin... Read more
Quiz:
Get Your Burning Questions About Prolonged Services Without Direct Patient Contact Answered
Don't forget: Never report 99358 and +99359 during the same month as 99484 and 99487-+9949... Read more
Reader Question:
Discover These Codes for Stress Tests
Question: The physician supervised the patient during exercises on a submaximal treadmill.... Read more
Reader Question:
Look to This Code for Cardiac Rhythm Monitors
Question: The cardiologist incised the skin in the patient's left upper chest and created ... Read more
Reader Question:
Cardiologist Documented Cardiac Arrest? Do This
Question: If the cardiologist documented that the patient has a diagnosis of cardiac arres... Read more
You Be the Coder:
Differentiate Between 37211 and 37212
Question: I'm new to cardiology. Could you please explain the difference between codes 372... Read more
CPT® Update:
Adopt These Aorta Graft, Blood Pressure Monitoring, and Myocardial Imaging Updates Before Jan. 1
Hint: You'll receive new codes 33858 and 33859 for ascending aorta grafts. When CPT® 202... Read more
ICD-10 Guidelines:
Conquer Revised ICD-10 Guidelines for AMIs, T-Codes, and Iatrogenic injuries
Never report injury codes from Chapter 19 for injuries that occur during a medical interve... Read more
Modifier 62:
Follow Handy Tips to Append Modifier 62 Correctly Every
Pay attention to co-surgery indicators. You read that your cardiologist worked together w... Read more
Reader Question:
Catch This Dx Code for MI Type 5
Question: Which ICD-10 code should I report for myocardial infarction (MI) type 5? Alaska... Read more
Reader Question:
Understand How HIPAA Applies During Disasters
Question: Since it's hurricane season, I wanted to make sure I understood the Health Infor... Read more
You Be the Coder:
Report 33274 for Permanent Leadless Pacemaker Insertion
Question: The cardiologist makes an incision into the patient's femoral vein and inserts a... Read more
CPT®:
3 Tips Sharpen Your Comprehensive EP Study Reporting Skills
Hint: The cardiologist must perform 5 components to report a comprehensive EP study. Intr... Read more
CPT®:
Execute Perfect Tilt Table Claims With This Advice
If the physician owns the tilt table, report 93660 without a modifier. You read in the me... Read more
FAQs:
5 FAQs Ensure You Meet Specific Critical Care Criteria, Mind Time Requirements
Don't separately report the services that are bundled into critical care. If your cardiol... Read more
Reader Question:
Solve This Programming Device Evaluation Mystery
Question: The cardiologist performed a face-to-face evaluation, and then he optimally... Read more
Reader Question:
Don't Mix Up 92975 With 92977
Question: The cardiologist used a catheter to infuse urokinase into the affected coro... Read more
Reader Question:
Append Modifier 25 to E/M Codes Only
Question: I'm new to coding, and I am struggling with some of the modifier rules. Whe... Read more
You Be the Coder:
Easily Differentiate Between 93306 and 93307
Question: What are the differences between codes 93306 and 93307? Florida Subscriber Ans... Read more
ICD-10 Update:
Atrial Fibrillation, Embolism and Thrombosis Additions Top Your New Cardiology ICD-10 Codes
Dig into new atrial fibrillation codes I48.11 and I48.19. CMS recently published its list... Read more
News You Can Use:
CMS Updates ABPM NCD, Now Covers Suspected Masked Hypertension
Hint: The revised NCD lowers the blood pressure threshold for hypertension. CMS recently ... Read more
Leadless Pacemakers:
Review Codes You Should Never Report Together to Reduce Leadless Pacemaker Claim Errors
Leadless pacemaker insertion, replacement, or removal includes catheter insertion into rig... Read more
Reader Question:
Discover Heart Failure ICD-10 Code
Question: What does the acronym HFpEF mean? My cardiologist documented this condition, and... Read more
Reader Question:
Report EKG and Stress Echo With Confidence
Question: The cardiologist performed an electrocardiogram (EKG), and then he decided the p... Read more
Reader Question:
Sequence External Cause Codes Carefully
Question: Should you ever sequence an external cause code as the principal diagnosis on a ... Read more
Reader Question:
Catch All Documentation Details For Clean Atherosclerosis Coding
Question: Can you help me better understand when it is appropriate to code I25.11 versus I... Read more
You Be the Coder:
Dig Into Behavior Change Service Codes
Question: We have an in-patient addicted to meth and other drugs. The cardiologist documen... Read more
ECMO/ECLS:
Gain Valuable ECMO/ECLS Documentation Tips, Confidently Report Multiple Physicians
Hint: Always state why the cardio/respiratory and hemodynamic support is being established... Read more
ECMO/ECLS:
5 Tips Guide Which ECMO/ECLS Codes You Can, Cannot Report Together
Hint: Physician can separately report extensive repair of an artery. Don't let the CPT® ... Read more
Coding Quiz:
Report These ICD-10 Codes for Myocardial Degeneration, Heart Failure
Hint: You have three ICD-10 options for cardiac arrest. Have you ever been left scratchin... Read more
E/M:
Thwart Prolonged Services With Direct Patient Contact Denials By Focusing on Importance of Time
Hint: Report +99354 and +99355 only in the office or other outpatient setting. Picture th... Read more
Reader Question:
Puzzle Out This EKG Conundrum
Question: I read that a pre-procedure EKG is included within the primary procedure unless ... Read more
Reader Question:
Report I45.6 for WPW Syndrome
Question: The cardiologist documented Wolff-Parkinson-White syndrome, but I'm not sure whi... Read more
You Be the Coder:
Submit Clean PICC Claims Every Time
Question: I'm new to cardiology, and I don't understand PICC coding, especially codes 3657... Read more
CPT®:
Bolster ECMO/ECLS Skills With This Primer
Remember: There are 2 methods of ECMO/ECLS. In the medical documentation, you read that t... Read more
Coding Quiz:
Heighten ICD-10 Knowledge With Quick Quiz
Rely on category I12- for hypertensive CKD Perusing the ICD-10 Official Guidelines for Co... Read more
ABNs:
Cultivate ABN Success With Helpful Tips
Hint: Don't forget to append the appropriate modifiers. In your cardiology practice, you ... Read more
Reader Question:
Tap Into These Codes for Subsequent AMIs
Question: The patient suffered from a type 1 ST elevation (STEMI) MI involving the left ma... Read more
Reader Question:
Calculate E/M Level in Tricky Case
Question: We have a new patient who is deaf, and the patient came in with a family member ... Read more
Reader Question:
Understand Critical Care Requirements
Question: What constitutes as critical care? Also, I once read that there is a specific li... Read more
You Be the Coder:
Solve This Pacemaker Removal Pocket Exploration Conundrum
Question: The cardiologist performed a pacemaker extraction. He initially replaced a wound... Read more
INR:
Thwart INR Denials With Our Cardiology Expert's Advice
Always ask specific payers for their individual INR rules. A subscriber recently wrote in... Read more
Rhythm EKGs:
3 Tips Guide You to Flawless Rhythm EKG Reporting
Make sure the documentation supports medical necessity for the rhythm strip. Reporting EK... Read more
Coding Quiz:
Ace Modifier 59 Challenges With a Quick Quiz
Never append modifier 59 to an E/M service. Whether you've been in the coding world for f... Read more
Reader Question:
Dial Into I45.2 for Bifascicular Block
Question: What's our ICD-10 coding option if the cardiologist documents a bifascicular blo... Read more
Reader Question:
See Who Can Record ROS
Question: There is a debate in our office about who can record an ROS. Can you help us? T... Read more
Reader Question:
Discover Proposed TAVR Policy Update
Question: One of my colleagues said that CMS has proposed an update to its national covera... Read more
You Be the Coder:
Get Your Burning Dialysis Circuit Questions Answered
Question: I have a case where I'm not sure which CPT® code to report. Can you help me? Us... Read more
Mythbuster:
Debunk 3 Myths to Fortify EKG Smarts
Never append modifiers 26, TC to EKG codes. You've got numerous rules to remember when re... Read more
Clip and Save:
Use This Chart and Never Get Your Cardiac Device Evaluations Confused Again
Break down the number of days between billing for the cardiac device evaluation codes. Th... Read more
Appeals:
Navigate the Medicare Part A and B Appeals Process With Ease
Dig into the 5 levels of the appeals process. You submit a claim to your MAC for a Part B... Read more
Reader Question:
Conquer Self-Audit Process With Ease
Question: We would like to perform a self-audit of critical care claims in our practi... Read more
Reader Question:
Count on These ICD-10 Codes for Atrial Flutter
Question: The cardiologist documented a typical atrial flutter. Which ICD-10 code should w... Read more
Reader Question:
Understand Modifier 59 Rules
Question: I was told that separate ICD-10 codes are not required to report modifier 59. Bu... Read more
You Be the Coder:
Decipher This Vena Cava Filter Scenario
Question: I have an operative report to code and I'm not sure of the correct CPT®&nb... Read more
CMS:
CERT Report says 10.9 Percent of Cardiology Visits Were Paid Improperly
Here are the claims that could be costing your practice well deserved reimbursement. You... Read more
ICD-10:
Hone Your Septic Embolism Skills With This Quick Primer
Hint: To report septic arterial embolisms, look to ICD-10 code I76. When reporting septic... Read more
FAQs:
Solve the PFSH Puzzle With These FAQs
Hint: Make sure you know the difference between pertinent and complete PFSH. When it come... Read more
Reader Question:
Review Rules for New Code 93264
Question: Can you explain the CPT® guidelines for new code 93264? North Dakota Subscribe... Read more
Reader Question:
Take a Look at This Rule for CMS Overpayments
Question: If our practice has received overpayments from CMS, what are the rules for retur... Read more
Reader Question:
Rely on I47.1 for Paroxysmal Supraventricular Tachycardia Dx
Question: The cardiologist documented paroxysmal supraventricular tachycardia. How should ... Read more
You Be the Coder:
Delve into 75630 for Clarity
Question: I am new to cardiology coding and don't fully understand code 75630. Can you ple... Read more
CPT® 2019:
New CPT® Guidelines Highlight Pacemakers, Implantable Defibrillators
Never report 33275 in conjunction with code 33274. If you report pacemakers and implantab... Read more
Case study:
Billing for ICDs? Brush up on These 6 Covered Patient Indications
Hint: For all patient indications, the patient must be clinically stable. Your cardiologi... Read more
Coding Quiz:
Test Your MI Coding Skills With These FAQs
Turn to I25.2 for old or healed MIs. Reporting myocardial infarctions (MI) in your cardio... Read more
Reader Question:
Report LT Services With Confidence
Question: Are we allowed to report a nonphysician practitioner's (NPP) services with a loc... Read more
Reader Question:
Missed a Deadline? Read This
Question: We have a few claims under medical review, and when we went to send the backup d... Read more
You Be the Coder:
Dive into Rules for New Code 33289
Question:  I'm not sure that I fully understand the rules regarding code 33289. Can y... Read more
CCI 25.0 Update:
Pay Attention to New Cardiac Rhythm Monitor, Transcatheter CCI Edits to Submit Clean Claims
Remember: Modifier indicator of “0” means you cannot break an edit under any circumsta... Read more
Modifiers:
Helpful FAQs Help Guide Your CPT® Modifier Usage
Hint: Check Append E to see which procedures are exempt from modifier 51. Knowing when to... Read more
ICD-10:
Have to Report Numerous External Cause Codes? Read This First
The cause/intent most responsible for the primary diagnosis should take priority. If you'... Read more
Reader Question:
Know Whether Cardiologist Utilized CPB to Choose Correct Code
Question: The cardiologist repaired the patient's cardiac wound with cardiopulmonary bypas... Read more
Reader Question:
Get the Low-Down on ABN Modifiers
Question: I'm new to coding, and I recently learned about advance beneficiary notices (ABN... Read more
Reader Question:
Reporting for More Than One Physician? Read This
Question: I am not sure how to code this critical care scenario. Physician A spent 30 minu... Read more
You Be the Coder:
Delve into New Codes 33285 and 33286
Question: I am new to cardiology coding and don't fully understand the new coding guidelin... Read more
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