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Cardiology Coding Alert

CPT® 2021 Guidelines:
Understand Included Services, Follow Reporting Rules to Ace New CPT® 2021 Congenital Cardiac Anomaly Shunting Codes
Hint: Never append modifier 63 to code 33741. In the article “Sort Through These Conge... Read more
E/M 2021:
5 Tips Boost Your 2021 E/M Office and Outpatient Codes Skills
You will no longer report code 99201 after Jan. 1, 2021. During past issues of Cardiology... Read more
Denials:
Create Straightforward Payer Contracts to Prevent Denials
Remember: Trend and track denials in your practice to find the root of the problem. Dur... Read more
You Be the Coder:
Thinking About Reporting 36556? Not so Fast
Question: My cardiologist placed an arterial line for continuous blood pressure monitoring... Read more
Reader Questions:
Don’t Miss These New CPT® 2021 Guidelines
Question: I was looking through my CPT® 2021 coding manual and noticed some additional gu... Read more
Reader Questions:
Report New Code for COVID-19 PPE
Question: What do you know about the new CPT® code for reporting additional practice expe... Read more
Reader Questions:
Make Sure to Update Your ABN Forms
Question: How do I know whether I'm using the correct advanced beneficiary notice (ABN) fo... Read more
CPT®:
Know Whether Cardiologist Performed Complete Cardiac Stress Test or Just Component to Safeguard Your Claims
Hint: Never report 93350 together with 93015. When your cardiologist performs a cardiac ... Read more
ICD-10-CM:
5 Tips Perfect Your Cerebrovascular Accident and Disease Skills
To report cognitive deficits following cerebrovascular disease, look to category I69-. If... Read more
MPFS:
CMS Proposes Post-COVID-19 Telehealth Expansion, Extends Direct Supervision Updates
Don't miss: Conversion factor could be cut by 10.61 percent. The Centers for Medicare &am... Read more
Reader Questions:
Watch Out for Vishing Scams
Question: Our external information technology (IT) person sent an email to our practice wa... Read more
Reader Questions:
Pay Close Attention to ICD-10-CM Coding Notes
Question: My cardiologist documented the patient as having hypertensive heart disease with... Read more
Reader Questions:
Understand Meaning of “Unprocessable” Claim
Question: We received an “unprocessable” claim from our MAC. Can we appeal this? Main... Read more
Reader Questions:
Sequence Dx Codes With Care
Question: The patient has atherosclerotic heart disease of the native coronary artery wit... Read more
You Be the Coder:
Meet Specific Requirements of Rhythm EKG Code 93040
Question: My cardiologist performed both the professional and technical components of a pa... Read more
CPT® 2021, Part 1:
Sort Through These Congenital Transcatheter, Ventricular Assist Device, and ECG Recording Codes Before Jan. 1 Hits
Remember: Check the documentation for length of recording time when reporting ECG codes. ... Read more
CPT® 2021, Part 2:
Adopt These New Automated Quantification Coronary Atherosclerotic T-Codes Before Jan. 1
Hint: T codes are also called Category III Codes. When Jan. 1, 2021 rolls around and CPT�... Read more
Telehealth:
Double Check COVID-19 PHE Telehealth Documentation to Survive Impending Audits
Remember: If billing based on time, make sure to document clearly. Telehealth has become... Read more
Reader Questions:
Here’s How Incident-to Guidelines Apply
Question: I reported 99211 for a nurse visit with a Medicare patient when the provider was... Read more
Reader Questions:
Train Staff on Proper Modifier Use
Question: We recently performed a self-audit and found that there are certain issues that ... Read more
Reader Questions:
Clarify Orthostatic Hypotension Dx
Question: If my cardiologist documented orthostatic hypotension, what ICD-10 code should I... Read more
You Be the Coder:
Review CPT®’s Rules for Reporting +37223
Question: I've received denials from Medicare regarding code +37223. When I reached o... Read more
ICD-10-CM:
Arteriosclerosis Index Additions and Tabular Note Revisions Highlight Your Cardiology Changes for 2021
Hint: Numerous atherosclerosis codes will add Includes notes. The new ICD-10-CM codes for... Read more
CPT®:
Perfect Your PICC Claims by Knowing Patient’s Age, Imaging Guidance Usage
Remember: Never report 36568 or 36569 in conjunction with +76937 or +77001. If your cardi... Read more
E/M 2021:
Stay Tuned to Upcoming MDM Component Verbiage Changes for 2021
Data Category 2 for high and moderate MDM will include independent interpretation of tests... Read more
Reader Questions:
Here’s How to Handle Non-Covered LCD Diagnoses
Question: Does Medicare restrict coverage to only the diagnoses listed under the code's Lo... Read more
Reader Questions:
Demystify PET Stress Test Scenario
Question: My cardiologist performed a 78492 PET service during a cardiovascular stress sub... Read more
Reader Questions:
Grasp 3-Year Rule For Patients
Question: When a physician joins a new practice and sees patients from the former practice... Read more
Reader Questions:
Understand Nonselective Catheterization
Question: My cardiologist introduced a catheter into the patient's common femoral art... Read more
You Be the Coder:
Distinguish Between Complete and Component Cardiac Event Monitoring Codes
Question: Can you explain the rules for reporting a complete cardiac event monitoring serv... Read more
CPT®:
Handy Tips Guide Your Arterial and Venous Mechanical Thrombectomy Claims
 Hint: If your cardiologist uses venous transcatheter therapies, you should report 37... Read more
ICD-10-CM:
Follow 5 Effective Rules to Boost STEMI, NSTEMI Coding Skills
Remember: Report I21.4 for type 1 NSTEMIs or nontransmural myocardial infarctions. Report... Read more
Modifiers:
Expert Advice Helps You Target Appropriate Modifier 24, 25, and 57 Use
Remember: Modifier 25 applies to E/Ms with minor procedure. Coding evaluation and managem... Read more
Reader Questions:
Always Mind CCI Edits
Question: How should you code a claim where a 93015 service and a 93351 service were perfo... Read more
Reader Questions:
Crack This Consecutive Encounter Conundrum
Question: One of my physicians would like to see new patients over the course of three sep... Read more
Reader Questions:
Observe When to Report Modifiers 52 and 53
Question: What guidelines should I adhere to for a surgery cancelled midway through for he... Read more
You Be the Coder:
See Which Services Included in TPVI
Question: The cardiologist performed a transcatheter pulmonary valve implantation (TPVI) v... Read more
HCPCS:
Focus on Arteriovenous Fistula Creation HCPCS Level II Updates
 Remember: Pay attention to effective dates for COVID-19 HCPCS Level II codes. The C... Read more
ICD-10:
5 Tips Guide Your Hypertensive CKD and Pulmonary Hypertension Claims
Don't forget to report a secondary code from category N18- when reporting a code from cate... Read more
Documentation:
Boost Your Medical Documentation With HPI, ROS, and A/P Enhancement
Make sure your documentation avoids conflicts or contradictions with info throughout the r... Read more
Reader Questions:
Reporting Mobitz Block Type I? Do This
Question: My cardiologist documented a diagnosis of Mobitz block type I. Which ICD-10... Read more
Reader Questions:
Never Report Add-On Code Without Correct Primary Code
Question: I'm getting a lot of denials for claims with +93571 with the explanation that th... Read more
You Be the Coder:
Rely on Global Code for This Holter Monitor Coding Scenario
Question: The patient has an irregular heart rhythm that comes and goes. Based upon his sy... Read more
COVID-19:
Learn How to Code Confirmed Cases of COVID-19 With New ICD-10 Guidelines
Remember: Take a look at the Z-codes related to COVID-19 cases. During the recent COVID-... Read more
CPT®:
Report Endovascular Repair of Infrarenal Abdominal Aorta Correctly Every Time
Hint: Make sure you look for “rupture” and “other than rupture” in the documentat... Read more
E/M 2021:
Boost Your E/M 2021 Knowledge by Busting 5 Myths About Upcoming Changes
Remember: You will pay special attention to MDM and time in 2021. Starting on Jan. 1, 2... Read more
Reader Question:
Mind These Heart Cath Codes
Question: My cardiologist performed a combined right heart catheterization and transseptal... Read more
Reader Question:
Figure Out MBI Rejection
Question: I've had a few claims rejected for Medicare patients, even though I know I have ... Read more
You Be the Coder:
Rely on 93660 for This Tilt Table Scenario
Question: My cardiologist performed a tilt table test to evaluate a patient who has been e... Read more
Telehealth, Part 1:
Master Medicare's Telehealth Changes During COVID-19 Pandemic
Critical care among new codes added to Medicare telehealth list to be covered during COVI... Read more
Telehealth, Part 2:
Check Out Virtual Check-Ins, E-Visits, RPM, and Telephone E/Ms
During COVID-19 PHE, both new and established patients can receive virtual check-ins. I... Read more
COVID-19 Codes:
Take a Look at New COVID-19 Code Choices
Add 87635 to your CPT® coding arsenal. Because of the COVID-19 pandemic, you will gain ... Read more
Reader Question:
Dial Into Pacemaker Conversion Scenario
Question: The cardiologist converted a single chamber pacemaker to a dual chamber system b... Read more
Reader Question:
Follow ICD-10 Guidelines for Old Myocardial Infarctions
Question: What are the rules for coding an old myocardial infarction? Pennsylvania Subscr... Read more
You Be the Coder:
Choose Appropriate Code for Comprehensive EP Study
Question: My cardiologist inserted multiple catheter electrodes into the patient using flu... Read more
CPT®:
Sidestep 3 Common Cardiac Cath Errors to Submit Clean Claims
Remember: You should report specific codes for congenital heart disease caths. Understand... Read more
CCI 2020:
Discover What's New for Cardiology in the CCI Policy Manual
You will see new abbreviation AOC in the 2020 CCI Policy Manual. You learned all about t... Read more
CPT®:
Don't Forget to Check the Errata List from AMA
Get ready to mark your coding manual with changes. Although the 2020 CPT® updates... Read more
You Be the Coder:
Distinguish Between Pacemaker Revision and Relocation
Question: The cardiologist created an incision at the selected site and inserted the elect... Read more
Reader Question:
Get Ready for New Coronavirus Codes
Question: What are the new CPT® codes for coronavirus testing? Ohio Subscriber Answer: ... Read more
Reader Question:
Never Ignore “Code First” Note
Question: My cardiologist documented that the patient has hypertensive heart disease with ... Read more
CERT:
CERT Report Discovers 7.7 Percent Improper Payment Rate for Cardiology
Insufficient documentation one of biggest errors found in latest report by CMS. As you ar... Read more
Cardiac Monitoring, Part 3:
Get Your Most Burning Cardiac Event Monitor Questions Answered
Only report 93268 if the cardiologist reports the entire cardiac event monitoring service.... Read more
E/M 2021:
Focus on Approaching 2021 Updates for New Patient Office E/M Codes
Catch these code descriptor changes for 99202-99205. Evaluation and management (E/M) new ... Read more
Reader Question:
Take These Steps to Protect ePHI
Question: My practice plans to switch over to exclusively using electronic faxes, but befo... Read more
Reader Question:
Demystify Nonselective Catheterization
Question: The cardiologist introduced a catheter into the patient's common femoral artery ... Read more
You Be the Coder:
Learn Congenital TTE Rules
Question: Could you help me understand the rules for reporting codes TTE codes 93303 and 9... Read more
CCI 26.0 Update:
Focus on 2020 Pericardial Drainage and Aorta Graft Edits
Remember: Always pay attention to modifier indicators. You've learned all about the 2020 ... Read more
Cardiac Monitoring, Part 2:
Here's How to Correctly Report Holter Monitoring
Don't miss: Understand when to appropriately append modifier 52. Holter monitoring is one... Read more
NCDs:
Recent Updates to 5 Cardiology NCDs Reflect New 2020 ICD-10 Code Additions
You'll see some changes to NCD 20.9.1 “Ventricular Assist Devices.” CMS recently rele... Read more
Reader Question:
Rely on This Option for Insertion of Permanent Implantable Defibrillator System
Question: The cardiologist implanted a new permanent dual chamber defibrillator system wit... Read more
You Be the Coder:
Puzzle Out Percutaneous Transluminal Mechanical Thrombectomy Scenario
Question: The cardiologist used fluoroscopic guidance to introduce a catheter through the ... Read more
Cardiac Monitoring, Part 1:
Solidify Your External MCT Claims With Expert Advice
Remember: Report mobile cardiac telemetry monitor codes 93228 and 93229 only once per 30 d... Read more
Quiz:
Test Yourself on HCPCS Level II 2020 Cardiology Codes and New Modifiers
Hint: You'll receive several new modifiers related to clinical decision support mechanisms... Read more
E/M:
Handy Tips Conquer New CPT® 2020 Online Digital E/M Codes
Hint: Never report online digital E/M services for cumulative service time that is less th... Read more
Reader Question:
Investigate Parenthetical Notes for 93297 and 93298
Question: I was perusing the October 2019 issue of Cardiology Coding Alert and had a quest... Read more
Reader Question:
Discover Appropriate Code for Swan-Ganz Catheter
Question: I'm new to cardiology, and I recently saw “Swan-Ganz catheter” in my cardiol... Read more
You Be the Coder:
Follow Numerous Guidance for 93025
Question: The cardiologist took an electrocardiogram with the patient at rest after applyi... Read more
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