decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 12 (December)
Cardiology: New cardiography guidelines clarify code requirements
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Article Overview
This cardiology coding article reviews updated guidance for cardiography services and related Medicare policy changes for cardiac MRI. It is aimed at coders, billing staff, and cardiology practices that need to understand which cardiac imaging services are covered, how documentation expectations are being clarified, and what broad payer issues affect reimbursement in the 2008 coding environment.
Why This Topic Matters
It helps cardiology practices recognize that documentation and payer policy can affect whether certain diagnostic services are reportable or covered. The article also highlights how Medicare coverage status and broader imaging payment policy may influence reimbursement for new cardiac MRI services.
Article Sections
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Cardiography documentation guidance
This section discusses updated documentation expectations for cardiography services in CPT 2008 and the types of elements referenced in the guidance. It focuses on the general requirements surrounding use of the related electrocardiography and rhythm strip codes.
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Cardiac MRI coverage and payment policy
This section reviews Medicare coverage status for newly added cardiac MRI services and notes which services are treated differently under national policy. It also addresses broader payment impacts related to office-based imaging reimbursement.
What You Will Learn
- How the article frames new cardiography documentation guidance
- What broad Medicare policy issues affect cardiac MRI services
- Which categories of cardiac MRI services are discussed as covered or non-covered
- How payment policy changes may affect cardiology practices
Who Should Read This
- Cardiology coders
- Medical billing staff
- Cardiology practice managers
- Physician documentation staff
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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