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Specialties / Cardiology

Cardiology Billing Services

Cath lab coding errors, modifier-25 audits, and bundling traps cost cardiology practices six figures a year. We stop the bleeding.

25+

Years in medical billing

30+

Specialties served

All 50

States supported

Dedicated

Specialty team

Get Your Free Analysis(888) 556-2742

The Cardiology Billing Challenge

Every specialty has coding landmines. Here are the ones costing cardiology practices the most.

Cardiac Cath Coding

$40-80K/yr

93451-93462

Left and right heart catheterization codes change based on approach, injection, and imaging. Miscoded caths are the single largest revenue leak in cardiology.

Modifier-25 Compliance

Top audit trigger

Modifier -25

Appending modifier-25 to E&M visits on procedure days is the number one audit trigger for cardiology. Incorrect use leads to recoupment demands and payer scrutiny.

Stress Test & Echo Bundling

$15-25K/yr

93015-93018

Stress tests with imaging have specific component codes for supervision, interpretation, and tracing. Billing the wrong combination leaves money on the table or triggers denials.

Prior Authorization Gaps

34% of auth denials

Auth denials

Over a third of cardiology authorization denials stem from missed or incomplete prior auth submissions, especially for advanced imaging and interventional procedures.

Pacemaker & ICD Coding

High-dollar

33206-33249

Device implantation, replacement, and lead revision codes are among the highest-dollar claims in cardiology. One wrong code can mean thousands lost per case.

Holter & Event Monitor

Undercoded 20%+

93224-93272

Extended monitoring codes for Holter, event, and mobile cardiac telemetry are undercoded in over 20% of practices. Technical and professional components are frequently missed.

What We Handle

Complete cardiology billing coverage — every code, every payer, every claim.

Diagnostic

  • Echocardiography (TTE/TEE)
  • Stress testing (exercise & pharmacologic)
  • Electrocardiogram (EKG)
  • Holter & event monitoring
  • Cardiac CT & MRI
  • Vascular ultrasound

Interventional

  • Cardiac catheterization
  • Coronary angiography
  • PCI & stent placement
  • Pacemaker & ICD implantation
  • Cardiac ablation

Management

  • Office E&M visits
  • Hospital consultations
  • Critical care services
  • Chronic Care Management (CCM)
  • Remote cardiac device monitoring
  • Anticoagulation management

Administrative

  • Prior authorization
  • Eligibility verification
  • Payer contract negotiation
  • Credentialing
  • Appeals & reconsiderations
  • Patient billing & statements

How It Works

1

Week 1

Free Analysis

We audit your cardiology billing, identify the biggest revenue leaks, and show you the numbers.

2

Week 1-2

Your Team Gets to Work

Coders and billers trained in cardiology connect to your system and start processing claims.

3

Day 30-90

Results Compound

Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.

“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”

Chris Applewhite

We Serve Every Specialty

Mental HealthOrthopedicDermatologyOB/GYNInternal MedicineUrgent CareGastroenterologyNeurologyPain ManagementOncology

Frequently Asked Questions

Do you have experience with cath lab coding?
Yes. Cardiac catheterization is one of our core competencies. Our coders are trained on every cath variant — left heart, right heart, combined, with and without angiography — and we audit every claim before submission to ensure accurate code selection and modifier use.
How do you handle modifier-25 compliance?
We apply modifier-25 only when documentation supports a separately identifiable E&M service on a procedure day. Every claim is reviewed against payer-specific guidelines, and we flag documentation gaps before submission to minimize audit exposure.
Can you handle nuclear cardiology and advanced imaging?
Absolutely. We code nuclear stress tests (SPECT, PET), cardiac CT angiography, and cardiac MRI. Each modality has specific technical and professional component rules that our team manages daily.
How do you manage remote device monitoring billing?
We track device interrogation schedules, bill remote monitoring codes at the correct intervals, and ensure both professional and technical components are captured. Many practices miss this recurring revenue entirely.
Do you integrate with our EHR?
We integrate with all major EHR and practice management systems, including Epic, athenahealth, eClinicalWorks, Greenway, and NextGen. Our team connects to your existing workflow without disruption.
How quickly can we get started?
Most cardiology practices are fully onboarded within one to two weeks. We begin with a free billing analysis, then our team connects to your system and starts processing claims immediately.

Find out how much revenue your cardiology practice is missing.

Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.

Get Your Free AnalysisCall (888) 556-2742