Bundling denials in the cath lab
Components billed separately that the base code already includes. We apply NCCI edits before submission.
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Cardiovascular medical billing services
Cardiovascular practices add surgical and interventional work to cardiology's diagnostic complexity: stents, peripheral interventions, vein and vascular procedures, each with bundling rules, global periods and component billing. Our team bills the full cardiovascular spectrum and defends the claims payers challenge most.
What makes cardiovascular billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether cardiovascular claims pay the first time.
- Coronary interventions (92920–92944) are billed per vessel with specific add-on rules; billing a bundled component separately is an instant denial.
- Peripheral vascular interventions follow territory-based coding (iliac, femoral-popliteal, tibial) with their own base and add-on logic.
- Vascular ultrasound and non-invasive studies carry component billing and medical-necessity limits.
- Global surgical periods mean post-procedure visits are included; billing them separately is a compliance risk as well as a denial.
Denials we see most in cardiovascular
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Vessel and territory errors
Interventions denied for incorrect vessel or territory coding. We code from the procedure report with specific anatomy.
Global period conflicts
Post-op visits denied as included in the global. We track global periods and bill modifier 24 only for unrelated care.
How Core MB bills for cardiovascular
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new cardiovascular providers runs in the same system, tracked live in your client portal.
- NCCI-aware coding for coronary and peripheral interventions.
- Global period tracking across every procedure.
- Component billing mapped to equipment ownership and interpretation at each site.
Everything in the service
The full revenue cycle as standard for cardiovascular practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Cardiovascular billing questions
How are coronary interventions coded?
Per vessel, with base codes and add-ons that depend on what was done in each vessel. We code from the procedure report, not the schedule.
What about peripheral vascular work?
Peripheral interventions are coded by anatomic territory with their own bundling logic. It is a different system from coronary coding, and we handle both.
Do you manage global periods?
Yes. We track each procedure's global period so follow-up visits are not billed as separate E/M unless they are genuinely unrelated.
How do we get started with Core MB for cardiovascular billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new cardiovascular providers can start at the same time.
Find out what your cardiovascular billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.