Healthcare SBC

Cardiology

Healthcare IT and billing built for a cardiology practice

Procedural and diagnostic billing precision for cardiology, from office E/M through cath lab and device monitoring.

A physician reviewing a treatment plan with a patient

Why cardiology is different

Cardiology billing spans office evaluation, non-invasive diagnostics, interventional procedures and remote device monitoring: each with distinct global periods, modifier conventions and payer policies.

Healthcare SBC assigns cardiology-credentialed coders and configures the platform for structured diagnostic reporting, device-monitoring billing cycles, and modifier logic that keeps interventional claims clean the first time.

Common challenges

Where cardiology practices lose revenue

The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.

Complex modifier requirements

Interventional cardiology depends on correct use of modifiers 26, TC, 59, XU and others that vary by payer and setting.

Global period confusion

Procedures with 0, 10 and 90-day globals create frequent bundling denials when follow-up visits are billed incorrectly.

Device monitoring cycles

Remote pacemaker and ICD monitoring follows strict 31- and 91-day billing cycles that are easy to miss or duplicate.

Prior authorization volume

Advanced imaging and elective procedures carry heavy authorization requirements that delay care and cause denials.

How we address it

Built for cardiology workflows

  • Cardiology-certified coders for diagnostic and interventional claims
  • Structured reporting templates for echo, stress, Holter and nuclear studies
  • Automated device-monitoring billing cycle tracking
  • Payer-specific modifier and global-period edits in claim scrubbing
  • Prior authorization management for imaging and elective procedures

Commonly billed codes in cardiology

A sample of the codes our cardiology coders work with daily.

  • 93000Electrocardiogram, complete
  • 93306Transthoracic echocardiography, complete
  • 93458Left heart catheterization with coronary angiography
  • 93297Remote monitoring of implantable device, 31 days
  • 93880Duplex scan of extracranial arteries, complete

Codes shown for reference only. Verify against current code sets and payer policy.

FAQ

Cardiology, frequently asked questions questions

Do you have coders experienced in interventional cardiology?
Yes. Cardiology claims are handled by coders credentialed and specifically experienced in cardiovascular coding, including cath lab, EP and vascular procedures where modifier and bundling rules are unforgiving.
How do you handle remote device monitoring billing?
The platform tracks each patient's monitoring period and eligibility window, prevents duplicate billing inside a cycle, and ensures the technical and professional components are billed correctly for your setting.
Can you manage prior authorizations for advanced imaging?
Yes. Our authorization team submits and pursues requests for nuclear studies, CT angiography, cardiac MRI and elective procedures, tracking each to determination with clinical documentation attached.