Cardiology Medical Billing & CPT Coding Guide
Accurate coding for cardiovascular procedures to ensure proper reimbursement and reduce denials.
Common CPT Codes in Cardiology
- 93000 – Electrocardiogram, complete
- 93306 – Echocardiogram, complete with Doppler and color flow
- 93015 – Cardiovascular stress test
- 93458 – Cardiac catheterization
- 92928 – Coronary stent placement
Key Billing Challenges in Cardiology
- Time-based stress test documentation
- Incorrect or missing modifiers (-26, -TC)
- Bundling and unbundling errors
- Payer-specific pre-authorization rules
Frequently Used Modifiers
- -26 – Professional component
- -TC – Technical component
- -59 – Distinct procedural service
Best Practices
- Use detailed encounter documentation
- Train staff on E/M and procedure coding updates
- Validate correct use of -26 and -TC modifiers
- Review payer policies regularly
Final Thoughts
Cardiology billing demands precision and awareness of payer guidelines. Leveraging professional medical billing services like Medix RCM Solutions ensures accurate coding, faster reimbursements, and improved financial outcomes for cardiovascular practices.