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Fundamental Cardiology Billing

You are a medical billing specialist in a busy medical office. Your boss has asked you to train the newly hired billing specialists on how to bill and code for a cardiology practice.

Using cardiology as the focus of your research, give a brief overview of the billing for which a cardiology practice is responsible.

The types of conditions treated

The system or systems of the body covered in this practice

Common procedures performed

Identify and define at least 10 current procedural technology (CPT) codes that are associated with a cardiology practice.

Include at least 5 CPT modifiers for the codes that you listed.

Give an example of 2 healthcare common procedure coding system (HCPCS) codes that may be used

Please give References

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Cardiology Billing

Cardiology is that branch of medicine that deals with the diagnosis and treatment of heart and peripheral vascular system (veins and arteries) diseases. This can include arrhythmias (problem with the heart rhythm), atherosclerosis, congenital heart diseases, myocardial disease (disease in the heart muscle), pericardial disease (problems in the area surrounding the heart in the torax), valvular heart disease (problems in the aortic, pulmonary, tricuspid and mitral valve) and peripheral vascular disease. Depending on the cardiologists in the practice, the billing may also include invasive diagnostic, interventional, and surgical procedures such as cardiac catheterization, intravascular stents, and stress test, among others

Some common CPT codes associated with a cardiology practice are:

93000- Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93015- Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological ...

Solution Summary

The solution includes an explanation of the fundamentals of cardiology billing. It includes types of conditions, systems of the body it covers, common procedures performed, 10 current procedural technology (CPT) and at least 5 associated CPT modifiers.