Cardiology Billing That Understands Your World
From cardiac cath modifiers to EP study add-ons to remote monitoring cycles — our cardiology billing team handles the complexity so you can focus on your patients' hearts.
97.1%
Clean Claim Rate for Cardiology
3.8%
Average Denial Rate
21 Days
Average AR Days
22%
Average Revenue Increase
WHY CARDIOLOGY BILLING IS COMPLEX
The Billing Challenges We Solve Daily
Cardiology has some of the highest coding complexity in medicine. These are the issues we resolve for every cardiology client.
Cardiac Cath Modifier Complexity
Professional vs. technical component splitting (modifier 26 and TC), bilateral procedure indicators, and same-day cath lab service bundling rules are among the most denial-prone areas in cardiology. Our coders know these rules cold.
Stress Test Component Billing
Submitting 93015 (complete stress test) vs. 93016/93017/93018 (supervision/tracing/interpretation components) incorrectly is a top denial trigger. We map your payer contracts to determine the correct billing approach per carrier.
EP Study Coding
Electrophysiology study codes carry complex add-on code sequences that must match specific documentation elements. Our electrophysiology coding specialists ensure full code capture with every submission.
Remote Monitoring Billing
93228, 93229, 93270–93272 remote cardiac monitoring codes require specific documentation intervals and reporting thresholds. We track compliance and submit these codes correctly every cycle.
Prior Auth for Cardiac Procedures
Prior authorization requirements for cardiac catheterizations, ablations, and device placements vary widely by payer. Our prior auth team maintains real-time payer policy libraries to prevent avoidable denials.
Implantable Device Billing
Pacemaker, ICD, and loop recorder billing requires correct device codes, interrogation add-ons, and remote monitoring codes to be submitted together without triggering bundling edits.
How Aethera Handles Cardiology Billing
Cardiology billing requires a team that doesn't treat it like general medicine. Our dedicated cardiology billing specialists maintain real-time knowledge of interventional, electrophysiology, imaging, and remote monitoring coding — and they're supported by a payer-specific rules library that's updated with every policy change.
When you partner with Aethera, you're assigned a cardiology-dedicated account team that knows the difference between a 93015 and a 93016/17/18 split, and knows which of your payers requires which approach. That granularity is what drives our 97.1% clean claim rate for cardiology clients.
Specifically, we handle:
Cardiac catheterization (right and left heart, combined procedures)
Percutaneous coronary intervention (PCI) with and without stent
Electrophysiology studies and ablation add-on codes
Remote cardiac monitoring (93228, 93229, 93270–93272)
Stress testing (complete vs. component billing by payer)
Echocardiography (TTE, TEE, stress echo, contrast)
Pacemaker and ICD insertions, replacements, interrogations
Loop recorder insertion and remote monitoring
Cardiac rehabilitation billing (93797, 93798)
Modifier management (26, TC, 59, 51, bilateral indicators)
Prior authorization tracking for cardiac procedures
Medicare Advantage and commercial prior auth workflows
PROCEDURE CODES
Common Cardiology CPT Codes We Bill
A sample of the cardiology procedure codes our team handles daily — each with specialty-specific billing rules.
| CPT Code | Description |
|---|---|
| 92920 | Percutaneous coronary intervention (PCI), single vessel |
| 92928 | PCI with stent placement, single vessel |
| 93000 | Electrocardiogram with interpretation and report |
| 93015 | Cardiovascular stress test, complete |
| 93224 | 24-hour Holter monitoring, recording and analysis |
| 93228 | External mobile cardiovascular telemetry, review and report |
| 93306 | Echocardiography, transthoracic, complete |
| 93351 | Stress echocardiography with contrast |
| 93600 | Bundle of His recording |
| 93619 | EP study, comprehensive |
| 93270 | Patient-activated cardiac event recording, analysis |
| 33206 | Insertion of permanent pacemaker, atrial |
Cardiology Group
This group came to Aethera with a 14.2% denial rate — almost entirely from cardiac cath modifier errors and stress test bundling issues. AR had reached 47 days and $40,000/month was being written off without appeal.
Denial Rate
14.2%
3.8%
AR Days
47
21
Collections
Baseline
+22%
Hours Saved/Wk
—
31 hrs
FAQ
Cardiology Billing Questions
Common questions from cardiologists considering outsourcing their revenue cycle.
Do you have coders who specialize specifically in cardiology?
Yes. Our cardiology billing team includes CPC-certified coders with dedicated cardiology experience. They handle interventional, electrophysiology, imaging, and remote monitoring coding — not just office visits.
How do you handle the 26/TC modifier split for our hospital-based cardiologists?
We maintain a payer-specific modifier matrix for every cardiologist we work with, including which payers accept global billing, which require the split, and which have special professional component rules for hospital-based providers.
We do a lot of remote cardiac monitoring. Can you handle the monthly billing cycles?
Absolutely. Remote cardiac monitoring (93228, 93229, 93270 series) has specific monthly billing cycles and documentation thresholds. We track your patients' monitoring periods and submit on the correct cycle automatically.
What's your experience with EP studies and ablation coding?
Our coders are experienced with the full range of EP study codes including comprehensive studies (93619, 93620), ablation (93653, 93654, 93656), and mapping add-ons. We review procedure reports against billing to ensure every add-on code is captured.
How quickly can you start if we're switching from another billing company?
Most cardiology practices are fully transitioned within 4–6 weeks. We manage the entire process including data migration, payer notifications, and parallel processing — so there's no gap in claim submissions.
Ready to Maximize Your Cardiology Revenue?
Start with a free cardiology billing assessment. We'll audit your denial patterns and show you exactly where revenue is being lost.
Get Free Cardiology Assessment