Cardiology Billing Services That Get Paid the First Time
Cardiology loses revenue in three places: component splits on diagnostic tests, bundling inside the cath lab, and reporting windows on remote monitoring. Transcure’s cardiology billing services are staffed by AAPC-certified coders who work those three failure points directly. AI agents cover each stage of the revenue cycle.
Our cardiology medical billing services cover:
- Component splitting on echo, stress, and nuclear cardiology studies
- Cath lab bundling under NCCI’s five major coronary artery rule
- Ablation and device coding across hospital, ASC, and office settings
- CODIN-driven code capture across the 2026 PCI and LER restructures
- Modifier 25 defense on same-day E/M with diagnostic cardiac testing
- Remote monitoring windows for pacemakers, defibrillators, and loop recorders
Our Success in Numbers
Results vary by practice size, specialty and payer mix. Across Transcure clients, these are typical results:
Thousands of Specialty
Practices Trust Transcure
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
Seven Proprietary
AI Agents
98% First Pass
Clean Claim Rate
How Our Cardiology Billing Services Improve Revenue?
Cardiology revenue is decided by setting, sequence, and timing more than by code selection. The same echocardiogram pays three different ways depending on who owns the equipment and who reads the study. The same ablation bills differently in a hospital, an ASC, and an office.
Most practices lose money on rules they never see fire. A global code billed where the hospital already submitted the technical component denies as a duplicate. A diagnostic catheterization billed alongside a PCI without documented sequencing bundles away. A device check submitted twice inside a 90-day window returns as a duplicate.
Transcure builds each cardiology account around those failure points. Coders are assigned by service line, so your EP claims and your nuclear studies are handled separately. Working with a cardiology billing company that knows these rules means fewer resubmissions and shorter A/R.
Cardiology Practices That Trust the Transcure Billing Team
Transcure supports cardiology practices across the full range of the specialty. Our client base spans dedicated electrophysiology clinics, general and interventional cardiology groups, and pediatric and adult congenital heart programs. Each carries a different payer mix and a different denial profile, and each is staffed accordingly.
What Cardiology Billing Services Does Transcure Provide?
Transcure runs cardiology revenue cycle management on the same AI agent stack that powers our medical billing services, configured for cardiac service lines. Seven agents cover eligibility through A/R recovery. Two human-led functions handle cath lab charge capture and audit defense. Here is what each one does for a cardiology practice.
How Does Transcure Handle the Laws and Rule Changes Affecting Cardiology Billing?
Transcure assigns cardiology-trained specialists who track CMS rulemaking, code set updates, and contractor audit activity. Four changes are reshaping cardiology billing right now, and each one carries a different operational consequence.
FY 2027 ICD-10-CM Cardiomyopathy and Arrhythmia Restructure
Effective October 1, 2026, I42.0, I42.8, and I49.8 become non-billable category headers. Dilated cardiomyopathy splits into I42.00, I42.01, and I42.09. Arrhythmogenic cardiomyopathy moves to I42.81, Brugada syndrome to I49.81, and CPVT to I47.22. Any superbill still carrying a parent code stops validating overnight. Transcure updates your code sets before the cutover.
CMS-1832-F Facility Practice Expense Reduction
The CY 2026 Physician Fee Schedule cut indirect practice expense for facility-furnished services, even for physicians who are not hospital-employed. Office payments rose roughly 5% while facility payments fell roughly 7%. Two identical cardiology groups moved in opposite directions. We model your payment by place of service.
CMS-0057-F Prior Authorization Turnaround Requirements
Since January 1, 2026, Medicare Advantage, Medicaid, CHIP, and exchange plans face statutory decision clocks. Expedited requests get 72 hours, standard requests seven calendar days, and denials require a specific reason. Most billing companies chase authorizations. PRIA timestamps every submission and escalates when a payer misses its clock.
The Ambulatory Specialty Model for Heart Failure
CMS finalized a mandatory heart failure model starting January 1, 2027. It adjusts future Part B payments by up to 9% in either direction. Selection depends on your PECOS specialty designation and Medicare heart failure volume. An outdated taxonomy code can pull a practice in or leave it out.
How Transcure Recovered Lost Revenue for Pediatric Cardiology Specialists
Pediatric Cardiology Specialists in San Bernardino, California treats congenital heart patients from fetal diagnosis through adult congenital care. That patient relationship runs for decades, and so does the receivable history behind it. Payments were not clearing correctly against the practice bank account, and no prior biller had traced the gap.
Transcure’s payment posting review reconciled deposits against claim-level remittances and isolated the break. Every dollar that had been sitting unresolved was recovered. Monthly collections then held at a higher level once the posting path was corrected. Your practice may be carrying the same gap without knowing it. Serving cardiology groups across California and nationwide.
Dr. Mohammad S. Kanakriyeh
Pediatric Cardiology Specialists, San Bernardino, CA
“Transcure found a payment issue that nobody before them had caught. Payments had not been clearing properly against our bank account. Once they diagnosed it, we got all of our outstanding money back. Our California practice was closing between 200,000 and 250,000 a month. We are consistently at 300,000 now.”
What Cardiology Procedures Does Transcure Bill?
Transcure covers every high-volume cardiology service line, each with its own coding rules and denial profile. Our cardiology billing and coding services are organized by procedure family rather than by claim volume.
Echocardiography Billing
We separate complete from limited studies correctly and apply the right component modifier by setting. Repeat echoes get documented clinical justification before submission, since transthoracic echocardiography is an active Recovery Audit topic.
Cardiac Stress Testing and Nuclear Cardiology Billing
We report 93016, 93017, and 93018 individually, because this family splits through component codes rather than a modifier. Nuclear perfusion studies clear authorization and medical necessity before the patient is scheduled.
Cardiac Catheterization Billing
We apply the NCCI exception correctly: diagnostic angiography bills separately only when it precedes the intervention and the decision is documented. Fluoroscopy, contrast injection, and ECG strips stay bundled where the rule requires.
Percutaneous Coronary Intervention Billing
We code to the 2026 structure, using 92930 for complex lesions and 92945 for chronic total occlusions. The five major artery rule governs every claim, including the two-branch reporting limit per vessel.
Cardiac Ablation and Electrophysiology Billing
We fold diagnostic EP study, transseptal puncture, and intracardiac echo into the primary ablation code as NCCI requires. Ablations performed in an ASC bill under the covered procedures list added January 1, 2026.
Cardiac Device and Remote Monitoring Billing
We handle pacemaker, defibrillator, and loop recorder implants alongside their monitoring tails. Device checks are tracked against 90-day and 30-day windows so no period is billed twice or missed entirely.
Cardiology Billing Services Across Every State in the United States
Transcure provides cardiology billing solutions nationwide, with coders trained on state Medicaid rules and regional MAC policy. Local coverage determinations on echocardiography and nuclear cardiology differ by jurisdiction, so claims are built to the rules of the contractor that will adjudicate them.
Our Expertise in Cardiology CPT, HCPCS, and ICD-10 Codes
Our cardiology billing and coding services span the full code set your practice reports daily. Below are the code families where accuracy decides whether a claim pays or denies.
93000, 93005, 93010
- Routine ECG with interpretation, tracing only, and interpretation only. Choosing the global code where the facility bills the tracing produces an automatic duplicate denial.
93306, 93307, 93308
- Complete and limited transthoracic echocardiography with Doppler. Reporting a limited study as complete is a named Recovery Audit target across all A/B MACs.
93015 to 93018
- Cardiovascular stress test, global and component codes. 93015 does not accept a component modifier, so supervision and interpretation report as 93016 and 93018.
93458, 93460, 93461
- Left heart catheterization with coronary angiography, and combined right and left heart studies. These bundle into PCI unless the diagnostic study documented precedes the decision to intervene.
92928, 92930, 92945
- Coronary stent placement, complex PCI, and chronic total occlusion PCI. 92930 and 92945 are new for 2026 and replace six deleted branch add-on codes.
93653, 93656
- Ablation for supraventricular tachycardia and pulmonary vein isolation for atrial fibrillation. Diagnostic EP study, transseptal puncture, and intracardiac echo are all included.
33206, 33207, 33208, 33249
- Pacemaker and defibrillator system insertion with electrode placement. Recovery Audit topic 0078 targets pacemaker medical necessity documentation on 33206 through 33208.
G0422, G0423, 93797, 93798
- Intensive and standard cardiac rehabilitation with and without continuous ECG monitoring. Medicare allows a maximum of two one-hour sessions per day across any combination of these codes.
I42.01, I42.81, I49.81, I25.10
- Familial-genetic dilated cardiomyopathy, arrhythmogenic cardiomyopathy, Brugada syndrome, and atherosclerotic heart disease. The first three take effect October 1, 2026, replacing I42.0, I42.8, and I49.8.
Why Transcure Is a Better Cardiology Billing Partner?
When it comes to cardiology medical billing services, the following table makes it clear why Transcure is the only correct choice.
Factor
Pricing
Setup fees
Contracts
Coder assignment
Component modifiers
NCCI bundling
Code set updates
Audit posture
First-pass clean claims
Turnaround
Transcure
Fixed billing fee at 5% of monthly collections
None
No long-term contracts
Coders assigned by cardiac service line
Applied by place of service on every claim
Claims scrubbed against current cath and EP edits
Applied before the effective date
Live Recovery Audit topics pre-reviewed
Up to 98%
48 hours
Typical Billing Company
6% to 10% of collections, often tiered
Implementation and onboarding charges
12 to 36 month lock-in
One generalist coder across all specialties
Global code billed by default
Errors found after the denial arrives
Applied after claims start rejecting
No proactive audit tracking
Industry average well below
Multi-day queues
Why Should Practices Outsource Cardiology Billing Services to Transcure?
Practices outsource cardiology billing services to Transcure because cardiology rules change faster than an in-house team can track them. Here is what a cardiology-focused partner changes.
Service-Line Coder Assignment
Your EP claims and your nuclear studies are handled by different coders with different training. Cardiology is too wide for one person to cover competently across imaging, catheterization, and device management.
Transparent Pricing
We charge a fixed fee at 5% of monthly collections. There are no setup fees and no long-term contracts, so the cost scales with what we actually collect for you.
Lower Administrative Overhead
A certified in-house cardiology coder carries salary, benefits, training, and turnover risk. Transcure converts that fixed payroll into a variable fee tied directly to collected revenue.
Rule Changes Applied Before They Bite
Deleted PCI codes, new cardiology ICD-10 categories, and revised NCCI edits reach your claims on the effective date. You do not learn about a code set change from a rejection report.
Works With Your Existing EHR
We integrate with 40+ EHR and practice management systems, including Epic, eClinicalWorks, and NextGen. There is no platform migration and no clinical retraining.
Dedicated Cardiology Account Manager
You get one named contact who knows your payer mix, your service lines, and your denial history. Weekly dashboards show A/R aging, denial categories, and collection rates by procedure family.
Cardiology Is Under Active Audit Right Now
Six Recovery Audit topics currently name cardiology services. Transthoracic echocardiography, cardiac PET, and pacemaker implantation are all under complex medical necessity review. Renal and peripheral angiography joins them.
Two more are automated, which matters more than the rest. One targets incorrect coding of modifiers TC and PC across all A/B MACs. Unbundling the technical component during an inpatient stay is the other. Automated means no human auditor has to find the error.
Add the October 1 code set change and the January 1 fee schedule revision. A cardiology practice running on last year’s rules is exposed on two fronts at once. Transcure pre-reviews the codes named in live audit topics and updates your code sets before each effective date.
What Cardiology EHR Systems Does Transcure Support?
Transcure integrates with every major platform cardiology practices run, pulling documentation from cath reports, echo modules, and device interrogation records without changing clinical workflow. Our coders work inside your system rather than asking your staff to export into ours.
Our Certifications
Transcure’s cardiology billing team holds industry-recognized certifications covering coding accuracy, data security, and CMS compliance. Every coder assigned to a cardiology account is AAPC-certified, and our 1100+ certified billers and coders work under audited quality standards.
What Practices Say About Our Cardiology Medical Billing Services
Cardiology practices across the nation work with Transcure for the same reasons: fewer denials, faster payment, and a team that answers. Here is what some of them say about our medical billing services.
Cardiac Electrophysiologist
Advanced Heart and Rhythm Clinic, FL
“The benefits reports are genuinely accurate, which saves us a lot of guesswork. Anything that ages past 30 days gets chased immediately. Good cardiology billing partner here in Florida.”
Interventional Cardiologist
Pace Cardiology PC, NY
“Our previous billers left us in the dark. Transcure updates us on time and explains what’s happening, and our New York cardiology practice payments have risen every month since.”
Interventional Cardiologist Crescent Cardiology Associates, TX
Transcure recovered our aged receivables and delivered consistent, accurate reporting. For a cardiology practice in Texas, having a billing partner this responsive has made a measurable difference.
Trusted by Thousands Across the Nation
Cardiology groups rate us on the same platforms their patients use to rate them. Our scores come from practices that stayed, which is why customer retention sits at 99%.
Frequently Asked Questions About Cardiology Billing
What Is Cardiology Billing?
Cardiology billing is how a cardiac practice gets paid for diagnostic testing, catheterization, electrophysiology, device management, and rehabilitation. It is unusually rule-heavy because payment depends on place of service, component ownership, and procedure sequencing rather than diagnosis alone.
Why Do Cardiology Claims Get Denied So Often?
Most cardiology denials trace to four causes. Global codes billed where the facility already submitted the technical component. Diagnostic catheterization unbundled from a same-session PCI. Device monitoring submitted twice inside one reporting window. Nuclear imaging performed without a confirmed prior authorization.
What Changes on October 1, 2026 for Cardiology Coding?
FY 2027 ICD-10-CM makes I42.0, I42.8, and I49.8 non-billable headers. Dilated cardiomyopathy splits into I42.00, I42.01, and I42.09. Arrhythmogenic cardiomyopathy becomes I42.81 and Brugada syndrome becomes I49.81. Practices carrying old parent codes in templates will see rejections from day one.
How Much Does Transcure Charge for Cardiology Medical Billing?
Transcure charges a fixed fee at 5% of monthly collections for cardiology billing services. There are no setup fees and no long-term contracts. Your practice pays only on what we collect, so cost tracks revenue rather than claim volume.
How Does Transcure Handle Modifier 26 and TC on Cardiac Testing?
We assign the component modifier by place of service on every claim. Hospital-based readings bill the professional component only. Office studies with practice-owned equipment bill globally. Stress testing uses 93016 and 93018, because that family splits through component codes rather than a modifier.
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