Cardiology
Cath-lab coding alone will bury a generalist biller. Hospital-based and independent — we know both.
Interventional procedures, device management, advanced imaging — cardiology's coding surface is wide. And hospital-based cardiology departments have their own payer-contract economics. We handle both.
Who this serves: Independent cardiology groups, interventional cardiology practices, hospital-based cardiology departments, and cardiology-heavy multi-specialty groups.
Cardiology billing is specialty-deep. Interventional coding (92920–92944 for coronary interventions, 92928 for stents, etc.) requires understanding of vessel-specific billing rules. Cath-lab procedures layer professional and technical components that a generalist biller can't untangle.
Device management adds another dimension. Pacemaker and ICD checks, remote monitoring (93224–93247, 93268–93272), programming services — each has its own frequency rules and documentation requirements.
And hospital-based cardiology is its own world: professional-component billing layered onto hospital outpatient services, cross-team handoffs for ancillaries, payer contracts negotiated at the system level but affecting department profitability.
What separates a specialty-fluent biller from a generalist.
Interventional cardiology
- Coronary interventions (92920–92944)
- Stent placement (92928, 92929)
- Balloon angioplasty and atherectomy
- Modifier discipline for multi-vessel procedures
- LD, LCX, RCA vessel-specific coding
Cath lab
- Professional vs. technical component (modifier 26 / TC)
- Left heart cath (93452–93461)
- Right heart cath (93451, 93453)
- Coronary angiography (93454–93461)
Diagnostic imaging
- Echocardiography (93306, 93307, 93308)
- Stress tests (93015–93018)
- Nuclear cardiology (78451–78454)
- Cardiac MRI and CTA
Device & monitoring
- Pacemaker / ICD interrogation (93279–93289)
- Remote monitoring (93224–93247, 93268–93272)
- Device programming services
- Loop recorder management
Chronic care
- CHF / CAD chronic care management (99490, 99439)
- Cardiovascular risk reduction counseling
- Medication management visits
- Post-procedure follow-up E&M
Interventional-fluent coders
Cath-lab and interventional cardiology is a specialty within billing. We staff for it.
Works for hospital-based departments
Professional-component billing, system-level payer contract layering, department-level P&L visibility.
Device and remote monitoring
Frequency-limit tracking for remote monitoring so you don't over- or under-bill.
Days 1–30 · Audit
Interventional coding sampling. Device and monitoring frequency review. Pro/tech split analysis.
Days 31–60 · Install
Cath-lab billing workflow. Device-monitoring tracking. Hospital-department reporting (if applicable).
Days 61–90 · Lift
Denials on interventional claims down. AR days trending down. Professional-component revenue fully captured.
Ownership structure doesn’t change the billing mechanics. The practice is the unit we serve.
- Independent cardiology groups (2–20 cardiologists)
- Interventional cardiology practices
- Hospital-based cardiology departments with practice-like P&Ls
- Multi-specialty groups with strong cardiology service lines
Free audit
Curious how much you're leaving on the table in cardiology?
Our free 30-day audit tells you — specific codes, specific payers, specific dollar amounts. No contract. You keep whatever we find.