Cardiology Billing Services
Diagnostic testing, professional and technical components, imaging authorizations and procedure global periods. We handle the details of cardiology billing so high-value claims are not lost to small errors.
High-Value Claims Need Extra Care
Cardiology claims are among the highest-value claims a practice sends, which means each denial hurts more. A test billed globally when only the read was done, a nuclear study without an approved authorization, or a follow-up visit billed inside a procedure’s global period can turn into a costly write-off.
AccMed RCM checks components, authorizations, global periods and medical necessity diagnoses on every cardiology claim before submission.
What we handle
- Global, professional (26) and technical (TC) component billing
- Prior authorization for echo, nuclear, CT and MRI studies
- Stress testing, Holter and extended ECG monitoring
- Device interrogation and remote monitoring periods
- Catheterization and interventional procedures with global periods
- Medical necessity diagnosis checks against LCD/NCD policies
Common Cardiology Codes
| Code | Service | Billing watch-out |
|---|---|---|
| 93000 / 93005 / 93010 | ECG global / tracing only / interpretation only | Bill only the part you performed |
| 93306 | Complete transthoracic echo with Doppler | Often needs prior authorization; diagnosis must support it |
| 93015–93018 | Cardiovascular stress test (global and components) | Supervision, tracing and interpretation billed correctly |
| 78452 | Myocardial perfusion imaging (SPECT), multiple studies | Prior authorization common; paired with stress codes |
| 93224–93227 | Holter monitoring (up to 48 hours) | Components and reporting period must match |
Related Services
Chronic Care Management Billing
CCM billing for heart-failure and chronic cardiac patients.
Learn more →Cardiology Billing: Common Questions
When should cardiology claims use modifier 26 or TC?
When a cardiologist only reads and interprets a test done on equipment owned by someone else, the professional component is billed with modifier 26. The owner of the equipment bills the technical component with TC. If your practice owns the equipment and reads the test, you bill the global code with no modifier.
Do cardiac imaging tests need prior authorization?
Often, yes. Many commercial and Medicare Advantage plans require prior authorization for nuclear stress tests, echocardiograms, cardiac CT and MRI, frequently through radiology benefit managers. We request and track these before the test date.
Which cardiology codes do you bill?
Office E/M visits, ECGs (93000–93010), echocardiography (such as 93306), stress testing (93015–93018), Holter and extended monitoring, nuclear cardiology, device checks, and interventional and catheterization procedures with their global periods.
How do you handle remote cardiac monitoring and device checks?
We bill remote device interrogations and extended ECG monitoring with the correct reporting periods and components, and track recurring monitoring so no billing period is missed.
Do you work with cardiology groups that have their own testing lab?
Yes. We bill global, professional and technical components correctly for in-office labs and for tests read at hospitals.
Protect Your Highest-Value Claims
Our free audit reviews recent cardiology claims for component, authorization and global-period errors.