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There are many rules like CPT® rules, NCCI rules, Medicare rules and more to consider when reporting cardiology procedures. There is a lot of confusion on how to code cardiology procedures, as many coders want to code by the service itself, and not the vessel treated. This Webinar is designed to speak to the new, intermediate and/ or seasoned coder about Cardiology Cath and interventional coding, billing and reimbursement. This session focuses on Cardiology procedural coding in the cath lab Terry, brings 25+ years of cardiology coding to the presentation, and her insights into being in the field and dealing with the application and workflows of this coding specialty on a daily basis. Terry will discuss CPT coding applications and modifiers, along with diagnoses linking for reimbursement success. Heart caths, injection procedures, stents, angioplasties and more will be the topic of coding education.
Expert Terry will also tell the Modifiers as it relates to this specialty to make sure denials are minimized. The presenter will also offer procedural reports to show live coding from the physician’s note. Terminology and heart structure language will also be included to help explain the why of these procedures being coded.
Learning Objectives:
- RHC for Congenital Cardiac Anomalies have been deleted, 2023 now has codes for CHD – Congenital Heart Defects 93593-93597
- What does normal vs abnormal native connection mean?
- Understanding ASD, PDA, VSD for new cath codes, Crosswalk included.
- Using modifiers to maximize reimbursement.
- Can we code 2 or more stents in the same vessel?
- How to we report a cardiac cath and intervention and get paid for both in the same session?
- How is an aortography captured?
- Is an R&L Heart Cath one or more codes?
- Understanding the basics of Cardiology Anatomy leading to simple diagnostics to Cardiac Cath and PCI
- Identify Cardiac Cath and/or PCI bundling issues and new billing opportunities for your cardiology practice
- Review the language in a Cath Lab Procedure report
- Coding Examples for the new and seasoned coder
- Cath updates for congenital heart defects
- 2023 Updates for Pulmonary injections and Stenting Procedures
Areas Covered in the Session:
- CPT® impact for Cardiology 2023
- New Codes
- Revised Codes
- Add-On Codes
- CPT codes for congenital heart defects cardiology
- Normal vs. Abnormal native connections
- CDC list of congenital heart defects ICD-10-CM
- Add on code for Thermodilution Cardiac output
- Cardiac catheterizations
- Left heart Cath without crossing over AO valve (shoot the coronaries)
- A correct example of when to use 93454(26)
- Left heart catheterization with or without left ventriculography and coronary angiography
- Left heart Cath with graft injections 93459
- R&l heart Catheterization w or w/o left Ventriculography and Coronary Angiography 93460.26
- Cardiac Cath crosswalk
- Injection procedures for Cardiac Catheterization
- Pulmonary Angiography performed with cardiac catheterization 2023 update
- How to use these add-on 2023 codes
- 93568
- 93569
- 93573
- 93574
- 93575
- Moderate conscious sedation report documentation
- Moderate conscious sedation limitations
- Interventional cardiology (PCI) 2023
- Coronary anatomy
- Major coronary arteries
- 92941 report coding
- Codes for coronary artery stenting
- Stenting and PTCA single vessel (w/multiple stents)
- Codes for atherectomy
- Coronary angioplasty (PTCA)
- New for 2023: shockwave lithotripsy
- New for 2023 (33900 – 33904) pulmonary artery stenting/PTA
- Mechanical thrombectomy
- IVUS intravascular ultrasound
- Miscellaneous Cath lab services
Other Relevant Webinars
Suggested Attendees:
- Physicians
- Coders
- Billers
- Compliance professionals
- Front Office
- Prior-authorization specialists
- Collections
- CDI professionals
- Mid-levels
- Administrators
- Back office and support staff
Presenter Biography:
Ms. Terry Fletcher is a Healthcare Coding & Billing Consultant based in Laguna Beach, California. She has 30 years+ experience in the Business of Healthcare. Ms. Fletcher is an Editorial Board Member for ICD10Monitor, a past National Advisory Board member for AAPC and past Chair for the AAPCCA. She is a CPT and ICD10-CM Coding, Billing and Reimbursement Educator for McVey Seminars, AAPC, AHIMA, ICD10University, NSCHBC, Decision Health, Ozark Coding Alliance and her company, she is also a Specialty Practice Auditor for multiple medical practices around the country.
Terry holds a bachelor’s degree (BS) in economics, multiple certifications in coding, and her proficiency certification in ICD-10-CM: BS, CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMC, QMGC, QMCRC, QMPM. Her coding and reimbursement specialties include: Cardiology, Peripheral-Cardiology, Gastroenterology, E/M Auditing, Orthopedics, General Surgery, OBGYN, Dermatology, Interventional Radiology, Telemedicine Services as well as Clinical Documentation Integrity and Revenue Cycle Management.
Ms. Fletcher is an Editorial Advisor for Cardiology Coding Alert & Practice Management Coding Alert! from The Coding Institute. Terry is the co-author of the Peripheral-Cardiology Coder from Medlearn, Inc, and authors many publications on coding and billing that you can find on our products page for purchase.
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