Cardiology Coding Alert

CPT® 2022 Guidelines:
Here’s How to Effectively Use New Coarctation of Aorta Repair CPT® 2022 Guidelines
Hint: Report 33894 and 33895 when your cardiologist uses stent placement to treat coarctat... Read more
Quiz:
Test Your Septic Embolism Knowledge With a Quick Quiz
Remember: Never report septic embolism as the primary diagnosis. Reporting septic embolis... Read more
CDI:
4 Tips Build Powerful CDI Program in Your Cardiology Practice
Hint: Have written policies and procedures. During the 2021 RISKCON session, “Establi... Read more
Reader Questions:
Understand Meaning of MUE
Question: I don't understand what the acronym MUE means in relation to the Centers fo... Read more
Reader Questions:
Rely on CMS-838 for Improper Payment
Question: How can we be sure we're refunding the correct amount when a claims processing e... Read more
Reader Questions:
Report 92960 for Cardioversion
Question: My provider prepped, anesthetized, and laid the patient in the supine posit... Read more
Reader Questions:
Report AAA Scenario With Ease
Question: My provider applied conductive on the skin over the patient's abdomen. They pre... Read more
You Be the Coder:
Solve This Tilt Table Coding Conundrum
Question: My cardiologist performed a tilt table test. During the tilt table test, my... Read more
Mythbuster:
Bust 5 Cardiac Stress Test Myths for Cleaner Claims in your Cardiology Practice
Hint: You can only report code 93015 in a nonfacility setting. Cardiac stress test claims... Read more
Tips:
Follow These Handy Tips to Perfect Your Myocardial Infarction Reporting
Remember: If type 1 NSTEMI evolves to STEMI, report the appropriate STEMI code. When you ... Read more
Audit Program:
Apply Expert Advice to Build an Effective Audit Program for Your Practice
Hint: Use professional resources to establish program protocols. During the 2021 RISKCON ... Read more
Reader Questions:
Understand HIPAA in Regard to Employee COVID-19 Testing
Question: Can employers request employee lab test results for COVID-19 testing or does HIP... Read more
Reader Questions:
Discover How to Code This E/M Service
Question: Our provider performed an office evaluation and management (E/M) service for a n... Read more
Reader Questions:
Be on Lookout for New Echo Code in 2022
Question: Should we expect to see a new echocardiographic code in 2022? Montana Subscribe... Read more
You Be the Coder:
Navigate This EP Study Claim With Confidence
Question: My cardiologist performed a comprehensive electrophysiologic study (EPS). He pla... Read more
CPT® 2022:
LAA Exclusion, Coarctation of Aorta Repair, Congenital Defect Cath Codes Highlight Next Year’s CPT® Changes
Hint: CPT® 2022 will delete congenital heart cath codes 93530- 93533. When CPT® 2022 be... Read more
CPT® 2022:
Check Out New Transcatheter, Cardiac Function System T-Codes Before Jan. 1 Hits
Hint: T-codes are also known as Category III Codes. CPT® 2022 becomes effective on Jan. ... Read more
Audits:
Follow 4 Steps to Perform Successful Internal Audits in Your Cardiology Practice
Hint: Learn how to improve your processes through denials. During the 2021 HEALTHCON ses... Read more
Reader Questions:
Puzzle Out Pericardial Drainage Situation
Question: My cardiologist performed pericardial drainage on a 15-year-old patient who does... Read more
Reader Questions:
Figure Out Prolonged Services Rules
Question: Our provider performed an office evaluation and management (E/M) service for a n... Read more
You Be the Coder:
Always Check NCCI Edits, Coding Notes
Question: I have a denial for codes 33227 and 33216-59 where 33227 is being denied as “N... Read more
ECGs:
5 Quick Tips Help Boost Your Electrocardiogram Reporting Skills
Hint: Follow specific rules for rhythm ECGs. Reporting ECGs (electrocardiograms) can be a... Read more
Quiz:
Test Your Cardiomyopathy ICD-10-CM Knowledge With a Quick Quiz
Remember: Code I42.0 also includes congestive cardiomyopathy. Reporting different diagno... Read more
Communication:
Follow 3 Steps to Become a Strong Communicator in Your Cardiology Practice
Hint: Understand how physicians communicate. As you work in the day-to-day at your cardi... Read more
Reader Questions:
Find Out How to Handle Pulse Generator Replacement
Question: My cardiologist performed a biventricular generator change. According to the med... Read more
Reader Questions:
Learn How HIPAA Relates to Patient’s Death
Question: If a patient passes away, how long does my practice need to maintain their priva... Read more
Reader Questions:
Heart Failure Classified With Scales
Question: I'm new to cardiology and was wondering if you could explain the heart failure s... Read more
Reader Questions:
Turn to This Code for External ECG Recording
Question: My cardiologist instructed the patient on how to use an external ECG recorder an... Read more
You Be the Coder:
Solve Holter Monitor Conundrum
Question: If a patient on a Holter monitor provides data for 7 days and 8 hours, do I roun... Read more
ICD-10-CM 2022:
New Non-Ischemic Myocardial Injury Code and Accompanying Notes Highlight Your 2022 Cardiology ICD-10-CM Changes
Hint: You will gain new code P09.5. The Centers for Medicare & Medicaid Services (CMS... Read more
CPT®:
4 Tips Veer Your Pacemaker and Defibrillator Procedure Coding Toward Success
Remember: You should report Z95.0 for the presence of a pacemaker. In the recent 2021 HEA... Read more
Quiz:
Answer 6 Questions to Smoothly Navigate Bradycardia Claims
Hint: Code R00.1 encompasses several diagnoses. When your cardiologist sees a patient f... Read more
Reader Questions:
See How to Code Myocardial Perfusion Imaging Case
Question: My cardiologist injected a radionuclide substance that collects in the patient's... Read more
Reader Questions:
Delve Into Rules Regarding Scribes
Question: We just started having one of our medical assistant's act as a scribe for a phys... Read more
Reader Questions:
Follow Rules for Reporting Intraoperative and Postprocedural CVAs
Question: I'm trying to learn when I can report an ICD-10-CM code for an intraoperative o... Read more
You Be the Coder:
Determine How to Code Cardiac Caths for Congenital Heart Disease
Question: I'm new to cardiology and I don't understand how to report cardiac catheterizati... Read more
Case Study:
Take the Mystery Out of Tilt Table Coding by Following These 4 Steps
Hint: Be very careful when reporting an E/M service with 93660. If your cardiologist trea... Read more
ICD-10-CM:
Identify 3 Specific Types of Heart Inflammation to Always Submit Clean Cardiology Claims
Remember: Myocarditis is inflammation of the muscular walls of the heart. If your cardio... Read more
Signature Guidelines:
Prevent Provider Medicare Signature Claim Denials With This Expert Advice
Caution: Stamped signature only allowed under specific circumstance. If you've ever wonde... Read more
Reader Questions:
See How CPT® Defines Subcutaneous Cardiac Rhythm Monitor
Question: My cardiologist incised the skin of the patient's upper chest and created a smal... Read more
Reader Questions:
Focus on 92960 for This Cardioversion Scenario
Question: After she prepped and anesthetized the patient, my cardiologist laid the patient... Read more
Reader Questions:
Always Secure Mobile Devices in Your Practice
Question: Clinicians in our practice often use mobile devices, including tablets and lapto... Read more
Reader Questions:
Rely on Modifier 66 for Surgical Team Cases
Question: I'm new to coding and was wondering if you could explain the proper use for modi... Read more
Reader Questions:
Differentiate Between ICD Procedures
Question: The patient had an implantable cardioverter-defibrillator (ICD) implanted and a ... Read more
You Be the Coder:
Pinpoint Age of MI to Choose Appropriate Dx Code
Question: The patient had a ST-segment elevation myocardial infarction (STEMI) myocardial ... Read more
Mythbuster:
Bust 5 Myths to Bolster Your Extracorporeal Membrane Oxygenation Claims
Hint: You must know if the ECMO was veno-arterial or veno-venous. When it comes to report... Read more
Quiz:
Answer 6 Questions to Report Hypertensive Heart Disease, CKD With Ease
Remember: You will report same code for both essential and malignant hypertension. Knowin... Read more
Modifiers:
Solve Surgery Modifier Challenges With This Expert Advice
Hint: Modifier 78 requires a trip back to OR. Modifiers are an essential part of filing ... Read more
Reader Questions:
Turn to I47.2 for Ventricular Tachycardia Dx
Question: My cardiologist documented a diagnosis of ventricular tachycardia. Which ICD-10-... Read more
Reader Questions:
Focus on I44.1 for Mobitz Block Type 1
Question: What ICD-10-CM code should I report for Mobitz Block Type 1? I saw this diagnosi... Read more
Reader Questions:
Remember 2 Codes on This Claim
Question: According to my cardiologist's documentation, the patient has dysphagia in its p... Read more
Reader Questions:
Never Submit Identical, Duplicate Claims
Question: We have several claims that our payer is taking more than 30 days to process or ... Read more
You Be the Coder:
Solve PICC Coding Puzzle
Question: My cardiologist created a small incision over the patient's vein in his forearm ... Read more
CPT®:
Take the Mystery Out of Right and Left Cath Coding by Following These 3 Tips
Hint: You must know if the patient had CABG to report the correct code. If you code for c... Read more
CPT®:
Solidify Non-Invasive Vascular Study Coding for Extracranial Arteries, Extremity Veins
Always check to see if the code is bilateral or unilateral. When you submit claims for no... Read more
CCI Edits:
Conquer Column 1, Column 2, and Modifier Indicators in Your Cardiology Practice
Hint: If the modifier indicator is “0,” you can never break the PTP edit. When you s... Read more
Reader Questions:
Discover Aortic Root Abscess Dx
Question: What ICD-10-CM code should I report for an aortic root abscess? Maine Subscribe... Read more
Reader Questions:
Know Rules for Using Unsecured Patient Communications
Question: Our patients frequently ask if we can send them appointment reminders or bills v... Read more
Reader Questions:
Choose Appropriate Carotid Artery Stenosis Dx Code
Question: Which ICD-10-CM choices do I have for carotid artery stenosis? Nebraska Subscri... Read more
Reader Questions:
Don’t Miss Cardiology Updates in the 2021 CPT® Errata
Question: Were there any 2021 errata updates for cardiology? I think I missed them for som... Read more
Reader Questions:
Solve This VAD Scenario
Question: My cardiologist made an incision to access the patient's femoral artery, and usi... Read more
You Be the Coder:
Make Sure 5 Components Performed for Comprehensive EP Study
Question: I'm new to cardiology. What are the procedure codes for a comprehensive EP study... Read more
CPT®:
5 Tips Show You How to Code Temporary Pacemakers, Revision of Skin Pockets
Report 33233 for the removal of a permanent pacemaker pulse generator. Pacemakers can be... Read more
Quiz:
Test Your Atherosclerotic Coronary Artery Disease Smarts to Solidify Cardiology Claims
Be aware of the atherosclerosis and pectoris angina combo codes. When you are coding ath... Read more
Modifiers:
Distinguish Between Assistant Surgery Modifiers With This Handy Guide
Hint: Only append modifier AS in certain circumstances. Along with ICD-10-CM and CPT® c... Read more
You Be the Coder:
Report This Code for Complete Cardiac Event Monitoring Service
Question: Can you explain to me what cardiac event monitors are and which procedure code I... Read more
Reader Questions:
Distinguish Between EMRs and EHRs
Question: At our practice, we often use the terms EMR and EHR interchangeably, but our new... Read more
Reader Questions:
Make Sure to Check CCI Edits
Question: I am trying to report code 33210 with code 33235, but Medicare has denied my cla... Read more
Reader Questions:
Hone in on Atrial Dilation ICD-10-CM
Question: I'm looking through my cardiologist's medical documentation, and she included a ... Read more
Reader Questions:
Follow Advice to Avoid Medicare Denials
Question: We recently got a Medicare claim denied for invalid patient information? What's... Read more
Reader Questions:
Understand Dx Code for Left Heart Cath
Question: The patient had a left heart catheterization, and on the second post-op day, the... Read more
CERT:
CERT Report Discovers 5.2 Percent Improper Payment Rate for Cardiology
Insufficient documentation and incorrect coding top errors. You know how important comple... Read more
CPT®:
Arrythmia Type Matters for Most Catheter Ablation Claims
Hint: You can report code +93657 in conjunction with code 93656. In some cases, your car... Read more
Quiz:
Handy FAQs Test Your Modifier 62 Smarts
Make sure CPT® and ICD-10-CM codes match for both co-surgeons. A new subscriber recentl... Read more
You Be the Coder:
Follow This Swan-Ganz Guidance
Question: I just came across the term “Swan-Ganz catheter” in my cardiologist's medica... Read more
Reader Questions:
Decode This CRT Scenario With Ease
Question: The doctor implanted a cardiac resynchronization therapy (CRT) device, and... Read more
Reader Questions:
5 Tips Safeguard Mobile Devices
Question: Can you give us some tips to help secure our mobile devices, meet HIPAA requirem... Read more
Reader Questions:
Cardiologist Performed Both PVI and CTI Ablations? Do This
Question: If the cardiologist performed a pulmonary vein isolation (PVI) ablation, and she... Read more
CCI 27.0:
Target 2021 Congenital Transcatheter and Ventricular Assist Device CCI Edits for Coding Success
Make sure you know what the different modifier indicators mean. You've learned all about... Read more
ICD-10-CM:
6 Tips Guide Streamline Your Heart Failure ICD-10-CM Claims
Always read the “code first” notes. Tip 1: Understand What Heart Failure Is If your... Read more
COVID-19:
Observe Pros and Cons of Mandatory Versus Optional COVID-19 Vaccines for Employees
Use your flu vaccine policies as a blueprint. Now that a COVID-19 vaccination is availab... Read more
You Be the Coder:
Decipher This Procainamide Infusion Study Scenario
Question: Can you please help me with this scenario? I'm looking at code +93623, but I'm n... Read more
Reader Questions:
Learn How to Verify Medicare Patient’s Eligibility With Electronic Claim Form
Question: We're trying to verify a Medicare beneficiary's eligibility with our MAC using a... Read more
Reader Questions:
Dig Into This 6-Lead ECG Home Visit Situation
Question: Can you help me find the correct code for a 6-lead ECG home visit? My cardiologi... Read more
Reader Questions:
Understand Device Interrogation Billing Guidelines
Question: Can you please help me understand the requirements for billing device interrogat... Read more
Reader Questions:
Grasp Definition of Medical Necessity
Question: I am new to coding. Can you help define medical necessity for me? Oregon Subscr... Read more
Reader Questions:
Be Aware of ICD-11
Question: I listened in on a webinar recently where the speaker said to prepare now for I... Read more
E/M 2021:
Avoid These 4 Mistakes in Your Cardiology Practice When Prepping for E/M 2021
Remember: The E/M 2021 changes will only apply to 99202-99215. 2021 is right around the c... Read more
Quiz:
7 Questions Solve Your Most Burning Tachycardia Coding Puzzles
Hint: You should report I47.1 for supraventricular tachycardia. When your cardiologist se... Read more
Queries:
Learn Why You Would Perform Provider Queries, What Info to Include on the Form
Discover 6 best practices for querying in your cardiology office. During their Virtual HE... Read more
You Be the Coder:
Dive Into Thrombectomy Scenario
Question: My cardiologist performed a diagnostic angiography on the patient's main pulmona... Read more
Reader Questions:
Protect Your e-Signatures
Question: We recently performed a risk assessment in our practice and found that the e-sig... Read more
Reader Questions:
Investigate This Consult Scenario
Question: Our provider examined a patient, then she provided information about the p... Read more
Reader Questions:
Don’t Forget Modifier on This Holter Monitoring Claim
Question: My cardiologist performed Holter monitoring. According to the medical documentat... Read more
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