Cardiology claims are high-value and code-heavy, so one missing modifier can cost real revenue.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 93000 | Routine 12-lead ECG with report | Check if tracing, interpretation and report are all billed by you |
| 93306 | Complete echocardiogram with Doppler | Split -26 / -TC when you do not own the equipment |
| 93015 | Cardiovascular stress test, full service | Use component codes if only part is performed |
| 78452 | Nuclear stress imaging (SPECT), multiple studies | Authorization is often required |
| 93458 | Left heart catheterization with coronary angiography | Watch bundling with imaging and supervision |
| 92928 | Stent placement in a coronary artery | Bill add-on vessels correctly |
| 93288 | Pacemaker interrogation and programming | Frequency limits apply by payer |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Biopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsSurgical coding with laterality, modifiers and global periods handled properly.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.