TC/26 split billing, cath lab and EP claim scrubbing, and RPM billing built for cardiology's CPT density.
Cardiology billing gets its own logic, not the same rules used for every other specialty.
Cardiology carries more billable complexity per encounter than almost any other specialty.
Technical vs. professional component billing on echoes, stress tests, and nuclear imaging.
diagnosticGlobal vs. technical-only vs. professional-only EKG billing, one of the most common component-split denial causes when the wrong code or modifier is used.
diagnosticRemote cardiac device monitoring, with data-transmission windows tracked per 30-day cycle.
remote monitoringElectrophysiology and cardiac implantable device procedures, normalized across manufacturers.
interventionalInterventional procedure documentation and modifier validation for cath lab claims.
interventionalEligibility and device-monitoring enrollment confirmed before the encounter.
TC/26 modifiers, cath lab and EP codes validated against payer rules and equipment ownership.
Device transmission data normalized across manufacturers and matched to billing windows.
Clean claims submit same-day; denials get root-cause analysis by procedure type.
Each code links to a guide covering documentation, modifiers, NCCI edits and the denial it draws most often, with the exact fix.
| Cardiac catheterization | ||
|---|---|---|
| Code | What it covers | Most common denial |
| CPT 93454 | Coronary angiography, no heart catheterization | CO-97 when billed with 93458-93461, which already include it |
| CPT 93458 | Left heart cath with coronary angiography | CO-97 when 93454 is billed alongside it |
| CPT 93460 | Right and left heart cath with coronary angiography | Split into 93451 + 93458 instead of one combined code |
Free Cardiology Billing X-Ray. No setup fees, no long-term contract.
