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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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