Medical Billing · Nationwide
Comprehensive AFib ablation (PVI), 3D electroanatomical mapping, intracardiac echocardiography, transvenous lead extraction, and remote cardiac device telemetry management.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to electrophysiologists, cardiac arrhythmia centers, and hospital EP lab directors across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical cardiac electrophysiology & catheter ablation CPT range we work: 93653, 93656, 93613, 93662, 93655, 93657, 33249, 33235, 93294–93298.
AFib ablation unbundling denials: Payers rejecting 93619/93620 diagnostic EP studies when billed with 93656 (pulmonary vein isolation), which statutorily includes right atrial/ventricular mapping and pacing
3D mapping and ICE denials: Medicare MACs demanding distinct documented clinical indications for CPT 93613 (3D mapping) and CPT 93662 (ICE) with specific operative note timestamps
Remote device interrogation interval clawbacks: Automated denials for CPT 93294/93295/93296 when submitted under 90 days from the prior transmission date
Complex transvenous lead extraction bundling: Disputes with commercial payers over fluoroscopic guidance (71046) and vascular repair during transvenous pacemaker/ICD lead removals (33234/33235)
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
Can you bill 3D electroanatomical mapping (CPT 93613) with AFib ablation (CPT 93656)?
Yes. CPT 93613 is an add-on code designated for 3D mapping that may be reported with 93656 when 3D voltage and activation maps are constructed. However, diagnostic EP study codes 93619 and 93620 are bundled into 93656 and cannot be unbundled.
What are the billing frequency rules for remote cardiac device monitoring (CPT 93294–93298)?
CPT 93294 (pacemakers) and 93295 (ICDs) are reported once every 90 days for remote interrogation. Submitting claims at 30- or 60-day intervals will trigger CO-16 or CO-96 duplicate/frequency denials. Remote loop recorders (93298) and hemodynamic monitors (93297) have dedicated 30-day reporting windows under CMS guidelines.
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