Cardiology Coding Alert

CPT® 2025:
Adopt These E/M Changes Before January 1 Hits
Say goodbye to 99441 through 99443 next year. When CPT® 2025 becomes effective on Jan. 1... Read more
2025 Updates:
Get Ready For New 2025 Category III Codes
Remember: Category III codes have an expiration date. Although you won't gain any new car... Read more
Education:
Conquer Coding Education Challenges With Expert Advice
Consider starting with E/M concepts first. In their 2024 HEALTHCON session titled “Tag... Read more
You Be the Coder:
Dial Into This Cath Scenario
Question: According to the documentation, the patient's left ventricular pressure was... Read more
Reader Questions:
Heed HIPAA Mandates
Question: Sometimes a client or patient requests emailed medical records. What are t... Read more
Reader Questions:
Understand How to Bill This Pacemaker Consultation
Question: I have three cardiology providers in the same group with three different ta... Read more
Reader Questions:
Figure Out Nuances of Holter Monitoring
Question: My cardiologist performed external electrocardiographic recording for 40 ho... Read more
Reader Questions:
See How to Properly Report Z Codes
Question: Do the ICD-10-CM Z codes affect reimbursement, or are they strictly for st... Read more
CPT®:
Master Vascular Coding With This Expert Advice
Hint: There are three lower extremity vascular territories for coding. In her HEALTHCON 2... Read more
ICD-10-CM:
Identify Location, Site, Complications to Choose Correct Atherosclerosis Dx
Hint: You must know if the patient also has angina pectoris or not. Coding for atheroscl... Read more
MPFS:
Get Ready for Pertinent MPFS 2025 Updates
See how telehealth has evolved. The Centers for Medicare & Medicaid Services (CMS) ha... Read more
Reader Questions:
earn About Medicare Policy
Question: I thought Medicare does not pay extra for physical status modifiers or qual... Read more
Reader Questions:
Puzzle Out This Cath Scenario
Question: Under local anesthesia, the physician made a small incision in the patient'... Read more
Reader Questions:
Decode Heart Failure Terminology
Question: When coding heart failure and the provider states that the patient has syst... Read more
Reader Questions:
Protect Electronic Signatures
Question: In our recent risk evaluation, we discovered that the electronic signatures... Read more
Reader Questions:
Focus on E/M Rules
Question: Can we count a provider's efforts to counsel a patient against a test as ev... Read more
You Be the Coder:
Dive Into Aortography Solution With Ease
Question: The physician accessed the right radial artery via the Seldinger technique.... Read more
ICD-10-CM 2025:
New Pulmonary Artery Embolism Codes Highlight New Cardiology Changes for 2025
Hint: You can start using Q23.81 on Oct. 1. The ICD-10-CM 2025 code additions, deletions,... Read more
Part 3:
How to Report Duplex Ultrasonography, CTA, MRA for Peripheral Artery Disease
Hint: Code 93978 is for a complete study. In the article “Ankle-Brachial Index Instrume... Read more
Finances:
Follow 4 Tips to Get Your Practice Into Excellent Financial Shape
Make sure you run specific financial reports. Patient care is, of course, the main prior... Read more
Reader Questions:
Report CT Angiography Appropriately
Question: My cardiologist performed computed tomography (CT) with instillation of con... Read more
Reader Questions:
Take This Prior Authorization Advice
Question: If a patient's prescribed medication needs a prior authorization from their... Read more
Reader Questions:
Note MPFS CF Changes
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con... Read more
Reader Questions:
Dial Into Coding SPECT Studies
Question: My provider performed multiple single photon emission computerized tomograp... Read more
Reader Questions:
Know How to Report Pericardiocentesis
Question: The physician performed a pericardiocentesis and pericardial drainage. What... Read more
You Be the Coder:
Solve Echocardiography Puzzle
Question: My cardiologist used transducers to obtain two-dimensional (2D) images of t... Read more
Part 2, PAD:
Ankle-Brachial Index Instrumental for Diagnosing Peripheral Artery Disease
Make sure you follow the ABI guidelines to the letter. Last month, in the article “Look... Read more
FAQ:
Get the Answers to Top 5 FAQs About Bradycardia
Hint: See how physicians diagnose bradycardia. ICD-10-CM can be a challenging maze to ge... Read more
Billing:
Navigate Prior Authorizations Headaches With Ease
Hint: Make sure documentation is top-notch. If you have ever had to manage prior authoriz... Read more
Reader Questions:
Focus on Cardioversion Situation
Question: Once the patient was appropriately prepped, anesthetized, and laid in the s... Read more
Reader Questions:
Understand Medical Identity Theft
Question: Is medical identity theft a type of fraudulent claim? Ohio Subscriber Ans... Read more
Reader Questions:
Figure Out This TEE Scenario
Question: After the patient was appropriately prepped and anesthetized, the provider ... Read more
Reader Questions:
Follow Overpayment Advice
Question: We've heard that the Centers for Medicare & Medicaid Services (CMS) say... Read more
You Be the Coder:
Decode This Implanted Defib System Mystery
Question: After the patient was appropriately prepped and anesthetized, the physician... Read more
Part 1, PAD:
Look to This Guidance to Improve Your Peripheral Artery Disease Coding
Choose different codes for atherosclerosis of bypass grafts vs. native arteries. If you ... Read more
ICD-10-CM Coding:
Billing Myocardial Infarction Claims? Focusing on These Types of Codes Can Help
Report I21.A9 for Type 3 MIs. When you report myocardial infarctions (MIs) in your pract... Read more
Technology:
AI May Be Very Useful in Your Practice, Especially During Staffing Shortages
AI must have complete picture of a patient's record to identify billing errors accurately... Read more
Reader Questions:
Rely on Addendums for EHR Mistake Corrections
Question: How should we correct a mistake in an electronic health record (EHR)? Penn... Read more
Reader Questions:
Mark Down These ICD-10-CM Codes
Question: A patient received a pacemaker implant last year because of Atrioventricula... Read more
Reader Questions:
Always Remain HIPAA Compliant
Question: One of the physicians in my practice demands we use a sign-in sheet—he sa... Read more
Reader Questions:
Define MUEs for Clarity
Question: Could you please clarify what “MUE” means and explain how it impacts my... Read more
You Be the Coder:
Choose Correct Cardiac Catheterization Code
Question: My provider made a small incision in the patient's groin, over the femoral ... Read more
CPT®:
Ace Holter Monitoring Reporting Every Time With Expert Advice
The date of service differs for component versus global codes. When a cardiologist perfor... Read more
FAQs:
Transform Your Hypotension Coding With 4 FAQs
Report I95.0 for idiopathic hypotension. You will find at least six codes for hypotension... Read more
Revenue:
Stop Denials in Their Tracks With These Handy Tips
Make sure team members communicate clearly with one another. Denials can be a major threa... Read more
Reader Questions:
Master Carotid Angiogram Conundrum
Question: The patient was brought to the cardiac Cath Lab in a fasting and non-sedate... Read more
Reader Questions:
Dig Into ICD-10-CM Question
Question: I saw “Bouveret-Hoffmann” in my cardiologist's documentation. How should I r... Read more
Reader Questions:
Ensure Practice Maintains Compliance
Question: We use wearable devices and health apps to remotely monitor our patients wh... Read more
Reader Questions:
Differentiate Between Types of Hypertension
Question: What is the difference between hypertension and pulmonary hypertension (HTN... Read more
Reader Questions:
Solve This E/M Question
Question: Does an undiagnosed new problem with an uncertain diagnosis automatically m... Read more
You Be the Coder:
Use Combo Codes for Atherosclerotic Heart Disease With Angina Pectoris
Question: If a patient has atherosclerotic heart disease with angina pectoris, do I r... Read more
CPT®:
Untangle Your Trickiest Mechanical Thrombectomy Claims
Hint: Never report +37185 alone on a claim. When your physician removes a blood clot (th... Read more
Quiz:
7 Q&As; Clarify How to Correctly Report Aortic Aneurysms
Hint: Report I71.12 for a ruptured aneurysm of the aortic arch. If your practice performs... Read more
E/M:
Report Evaluation and Management Services With the Utmost Confidence
Focus on new CMS prolonged service G codes. No matter your specialty, understanding how t... Read more
Reader Questions:
Figure Out This Documentation Request Scenario
Question: What's the best way to respond to a documentation request from another phys... Read more
Reader Questions:
Learn Importance of SDOH
Question: I know there's a huge push to document social determinants of health (SDOH)... Read more
Reader Questions:
Append Modifier 25 With Caution
Question: Should I always append modifier 25 for a minor procedure with an evaluation... Read more
You Be the Coder:
Solve This Pulmonary Angio Puzzle
Question: The cardiologist successfully accessed the right common femoral vein using ... Read more
Quiz:
Answer 5 FAQs About Heart Caths to Always Submit Clean Claims
Differentiate between selective, nonselective caths. Reporting heart catheters may seem t... Read more
ICD-10-CM:
Follow Handy Tips to Ace Your Pericarditis Coding
Report I30.1 for infective pericarditis. When you encounter pericarditis in the documenta... Read more
Modifiers:
Easily Navigate Modifier Conundrums With These Expert Solutions
Modifier 25 is one of the most commonly rejected modifiers. Chances are you probably enco... Read more
Reader Questions:
Focus on This Lead Revision Scenario
Question: When the patient was appropriately prepped and anesthetized, the cardiologi... Read more
Reader Questions:
Conquer Cath Placement With Ease
Question: When the patient was prepped and anesthetized, my provider introduced a cat... Read more
Reader Questions:
Figure Out CERT Program
Question: Are there any resources available to help folks navigate the Center for Med... Read more
Reader Questions:
Smartwatch With ECG Tech Tracks Heart Rhythm Beyond Office
Question: I am training as a scheduler, and a patient called in saying that their sm... Read more
You Be the Coder:
Know When to Report This Category III Code
Question: After the patient was appropriately prepped and anesthetized, the provider ... Read more
CPT®:
Take 3 Steps to Execute Flawless MCT Claims
Code 93228 is the professional component. External mobile cardiovascular telemetry (MCT)... Read more
Quiz:
Answer Quick Questions to Expand Your Septic Embolism Knowledge
Hint: Don't forget the underlying condition. ICD-10-CM codes are tricky because there a... Read more
NCCI:
Follow Expert Advice to Conquer Challenges With NCCI Edits
Don't abuse modifier 59. Although most coding software programs incorporate the quarterl... Read more
Reader Questions:
Clear Up This E/M Challenge
Question: Who is responsible for the final diagnosis used for an office/ outpatient e... Read more
Reader Questions:
Decipher This Holter Monitoring Situation
Question: The patient wore an electrocardiographic, or ECG recorder, for more than 72... Read more
Reader Questions:
Beware of This Behavior in Your Office
Question: A colleague who works at the front desk has a “side hustle” watching pe... Read more
Reader Questions:
Report Venous Mechanical Thrombectomy With Ease
Question: After the patient was appropriately prepped and anesthetized, my cardiologi... Read more
Reader Questions:
Know These E/M Rules
Question: I have a provider who would like to see new patients over three separate da... Read more
Reader Questions:
See What Z Codes Are
Question: Do Z codes really affect reimbursement, or are they mostly designed to pad ... Read more
You Be the Coder:
Dial Into Pulmonary Vein Ablation Conundrum
Question: My provider performed a comprehensive electrophysiologic (EP) study where t... Read more
Quiz:
Can You Remember 2023’s Coding Updates? Take this Year-in-Review Quiz
Answer these questions to start next year on the right foot. As 2023 ends, it is the per... Read more
ICD-10-CM:
Follow 6 Steps For Seamless Tachycardia Coding
Atrial flutter and atrial fibrillation are not the same. Coding ICD-10-CM can be challe... Read more
Billing:
Read This Expert Advice Before You Waive Copays
Know how “financial hardship” factors in. Sometimes waiving a copay may seem like a ... Read more
Reader Question:
Dial Into Pocket Revision Situation
Question: My cardiologist performed a BIV ICD pocket hematoma evaluation and explorat... Read more
Reader Question:
EKG and ECG Are Same Procedure
Question: I've seen the abbreviations EKG and ECG in my cardiologist's documentation.... Read more
Reader Question:
Figure Out Aortic Root Abscess ICD-10-CM Codes
Question: Following an imaging scan, the physician listed the findings as aortic root... Read more
You Be the Coder:
Solve This Pericardial Drainage Conundrum
Question: The patient is 15 years old and does not have a congenital cardiac anomaly.... Read more
Cardiology Coding:
Elevate Your CPT® 2025 Expertise With These Quick Questions
Remember: You won't be able to report 99441 next year. With January 1 comes a variety of ... Read more
Cardiology Coding:
Rely on This Code for Sinus Bradycardia
Question: Which ICD-10-CM code should I report for sinus bradycardia? Louisiana Subscribe... Read more
Cardiology Coding:
Conquer Electrophysiologic Evaluation Conundrum With Ease
Question: My provider tested the electrical activity of a single-chamber cardioverter... Read more
Cardiology Coding:
Mind Catheter Placement
Question: Once the patient was prepped and anesthetized, my cardiologist made a small inci... Read more
Cardiology Coding:
Dial Into Heart Failure Codes
Question: If coding heart failure and the provider states that the patient has systolic he... Read more
Cardiology Coding:
Follow Expert Guidance to Improve Your Swan-Ganz Coding
Hint: Never report 93503 with other diagnostic cardiac catheterization codes. If your phy... Read more
Cardiology Coding:
Become Familiar With Acronyms Surrounding Heart Failure
Question: There are so many acronyms pertinent to cardiology! What's the difference betwee... Read more
Cardiology Coding:
Credentials May Matter for EKG Readings
Question: Can I report 93000-93010 when a nonphysician practitioner (NPP) produces a readi... Read more
Cardiology Coding:
Overcome the Challenges of Coding for Conduction System Pacing
Location over function leads code selection for his bundle and left bundle branch pacing. ... Read more
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