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Format:	On-Demand Webinar
Presenter:	Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS
Time:	You can access the webinar anytime
Duration:	60 minutes

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

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Suggested Attendees

Physicians
Coders
Billers
Compliance professionals
Front Office
Prior-authorization specialists
Collections
CDI professionals
Mid-levels
Administrators
Back office and support staff

About the Presenter

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.

Course Content

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Webinar Link + Handouts PDF

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