Billing built for cardiology practices, not generic medical.
Certified coders who actually know the difference between a 93000 and a 93010. We specialize in cardiac practice billing: echocardiography, catheterization, stress tests, EKGs, and everything in between. Same 4.99% flat rate. Same dedicated manager. Just billing that finally speaks cardiology.
Cardiology CPT codes we handle every day.
Not a general biller learning your codes on the fly. Certified coders who specialize in cardiovascular billing and know the modifier rules by heart.
EKG with Interpretation
Twelve-lead electrocardiogram with tracing, interpretation, and report. Watch for modifier 26 vs global billing rules.
Complete Echocardiogram
Transthoracic echo with spectral and color Doppler. Must document all elements for full reimbursement.
Carotid Duplex
Bilateral extracranial vascular study. Prior authorization required by most commercial payers.
Cardiac Catheterization
Left heart catheterization with coronary angiography. Bundling rules are strict, especially with 93459.
Electrophysiology Study
Intracardiac EPS with pacing and recording. High-complexity documentation and prior auth required.
Cardiac Rehab
Physician-supervised cardiac rehabilitation. Session limits vary by payer and diagnosis.
Where cardiology billing usually breaks.
Three patterns account for most denials in cardiology. Our specialized coders catch these before submission, not after.
Prior Authorization
Missing or expired prior auth on cath, EPS, and imaging. Most commercial payers require it for high-cost procedures.
Bundling Errors
Common with 93458/93459 combinations and modifier 59 misuse. Payers reject anything that looks like double-billing.
Medical Necessity
Documentation doesn’t support the diagnosis-procedure link. Common on stress tests and vascular studies.
Full-service cardiology billing.
Everything a cardiac practice needs, from scheduling to final payment posting.
Cardiac Procedure Coding
Cath, echo, EPS, stress tests, ablation — coded to the modifier level.
Prior Auth Management
Every cath and imaging study pre-authorized before the appointment.
Denial Prevention
Cardiology-specific denial patterns tracked and addressed at source.
Global Period Tracking
90-day global periods on major cardiac procedures managed without lost revenue.
Payer Contract Review
Cardiology-specific fee schedules reviewed against your actual reimbursement.
Dedicated Manager
Same billing manager for your practice. Knows your providers, your codes, your patients.
Each cardiology sub-specialty billed differently. We handle all of them.
Coders matched to your sub-specialty, not a generalist stretched across everything. The billing rules for a preventive cardiologist look nothing like the rules for an interventionalist.
Interventional Cardiology
Cath lab, PCI, stenting, structural heart procedures. Highest reimbursement per procedure, tightest bundling rules.
Electrophysiology
EPS, ablations, device implants, pacemakers. Complex coding with device tracking, follow-up rules, and remote monitoring billing.
Non-Invasive Imaging
Echo, stress echo, nuclear cardiology, cardiac CT and MRI. Heavy prior auth burden with commercial payers.
Preventive Cardiology
Risk assessment, lipid management, chronic care management. Mix of E/M and CCM billing with strict time documentation.
Heart Failure
Advanced HF management, remote monitoring, transitional care. CCM and RPM codes are underbilled in most practices.
Cardiac Rehab
Phase II supervised cardiac rehab, session-based billing. Payer session limits vary and need close tracking.
Cardiology-specific rules we track for you.
Cardiology has more payer-specific coverage policies than almost any other specialty. Miss one Medicare LCD update and a whole month of claims can deny.
Local Coverage Determinations monitored monthly
Every MAC (Medicare Administrative Contractor) publishes LCDs that change what’s covered and how. We track updates from Palmetto GBA, Noridian, WPS, CGS, and Novitas monthly for cardiology-specific policies.
Quarterly bundling rule updates applied automatically
CMS publishes National Correct Coding Initiative edits four times a year. Cardiology gets hit hard by column-1/column-2 changes for cath and imaging codes. Your claim scrubbing rules update the day the edits ship.
Payer prior auth requirements tracked per procedure
Aetna, BCBS, and UHC each have different prior auth thresholds for cath, EPS, and cardiac imaging. We maintain a live rulebook per payer, per procedure so nothing slips through scheduling.
Cardiology quality measures reported correctly
MIPS penalizes cardiology practices heavily for missed reporting on measures like beta-blocker at discharge, statin therapy, and BP control. We capture these at point of care so your bonus doesn’t turn into a penalty.
“We’re a five-cardiologist group and our previous biller was a general medical billing shop. They kept billing our echos with the wrong modifiers and our AR just piled up. CureMed got us to 96 percent clean claim rate in two months. They actually know what a 93306 is.”
Common questions about cardiology billing.
What is cardiology billing?
Cardiology billing is the process of coding and submitting claims for cardiovascular services including echocardiograms, EKGs, cardiac catheterization, stress tests, and evaluation and management visits. It requires deep knowledge of cardiac-specific CPT codes and payer rules.
What CPT codes are common in cardiology billing?
Common cardiology CPT codes include 93000 (EKG), 93306 (echocardiogram), 93880 (carotid duplex), 93458 (cardiac catheterization), and 93650 (electrophysiology study). Each has specific documentation and modifier requirements.
Why do cardiology claims get denied?
Top reasons include missing or incorrect prior authorization (37%), bundling errors on procedures (22%), and lack of medical necessity documentation (18%). Our specialized coders catch these before submission.
Do you handle both interventional and non-invasive cardiology?
Yes. We handle the full cardiology spectrum: general/preventive, interventional (cath lab), electrophysiology, heart failure, and non-invasive imaging. Coders are matched to your subspecialty.
How is your pricing structured for cardiology?
Same flat 4.99 percent of collections that applies to every specialty. No cardiology surcharge, no per-procedure fees, no setup costs. You only pay when we collect.
Ready for billing that actually speaks cardiology?
Send us three months of your claims and denials. We’ll deliver a free cardiology-specific audit within a week showing exactly where your revenue is slipping.