Common Cardiology Codes

September 14, 2021
Posted by: medconverge
Categories: Medical Billing, Medical Coding

Here are some commonly used cardiology codes that medical coders and billers working in the US RCM industry should know before coding and billing cardiology encounters. Let us start with a list of common ICD-10 cardiology codes used in US healthcare medical coding and billing.

Common Cardiology Codes (ICD)

Cardiovascular and Ischemic Disease

Diagnosis	ICD-10 code
Cardiovascular disease, Unspecified	I25.10
Atrial Fibrillation	I48.91
Congestive Heart Failure	I50.9
CVA	I63.9
Stroke	I63.9
Carotid Artery Occlusion, Bilateral	I65.23
Carotid Artery Stenosis, Bilateral	I65.23
Carotid Artery Occlusion	I65.29
Carotid Artery Stenosis	I65.29
Cerebral Atherosclerosis	I67.2
Ischaemic Cerebrovascular Disease	I67.9
Peripheral Vascular Disease	I73.9

Circulatory System Diseases

Diagnosis	ICD-10 Code
Angina Pectoris, NOS	I20.9
Myocardial Infarction, Acute, Anterior (initial episode of care)	I21.09
Myocardial Infarction, Acute, Unspecified (initial episode of care)	I21.3
ASHD Coronary Artery	I25.10
ASHD, Unspecified	I25.10
CAD (Coronary Artery Disease)/ASHD	I25.10
Old Myocardial Infarction	I25.2
Coronary Atherosclerosis Due To Calcified Coronary Lesion	I25.84
Chronic Ischaemic Heart Disease	I25.9

Hypertensive Disease

Diagnosis	ICD-10 Code
Malignant Hypertension	I10
Benign Hypertension	I10
Hypertension, Unspecified	I10
Malignant Hypertension Heart Disease with Heart Failure	I11.0
Benign Hypertension Heart Disease with Heart Failure	I11.0
Unspecified Hypertension Heart Disease with Heart Failure	I11.0
Malignant Hypertension Heart Disease without Heart Failure	I11.9
Benign Hypertension Heart Disease without Heart Failure	I11.9
Unspecified Hypertension Heart Disease without Heart Failure	I11.9

Metabolic and Nutritional Diseases

Diagnosis	ICD-10 Code
Diabetes Mellitus, II with Hyperglycemia	E11.65
Diabetes Mellitus, II Controlled	E11.9
Vitamin D Deficiency	E55.9
Hypercholesterolemia	E78.0
Hypertriglyceridemia	E78.1
Pure Hypertriglyceridemia	E78.1
Hyperlipidemia, Mixed	E78.2
Hyperlipidemia, Unspecified	E78.5
Dysmetabolic Syndrome	E88.81
Insulin Resistance	E88.81
Metabolic Syndrome	E88.81

Abnormal Glucose

Diagnosis	ICD-10 Code
Elevated Fasting Glucose	R73.01
Impaired Fasting Glucose	R73.01
Prediabetes	R73.09
Abnormal Glucose	R73.09
Hyperglycemia	R73.9

Supplementary Health Status

Diagnosis	ICD-10 Code
Screening for Lipid Disorders	Z13.220
Long Term Use of High-Risk Medication	Z79.899
Family History of Cardiovascular Disease	Z82.49
Family History of Ischemic Heart Disease	Z82.49

Common Cardiology Codes (CPT)

In short, Current Procedural Terminology (CPT) codes are as crucial as ICD codes for medical coding and billing. While ICD codes indicate the disease/cause, CPT codes indicate the procedures used to treat the disease.

For this reason, the list given below shows the number of CPT codes for each cardiovascular category.

Diagnosis	CPT Codes
Therapeutic Cardiovascular Services and Procedures	92920-92998
Cardiography Procedures	93000-93050
Cardiovascular Monitoring Services	93224-93278
Implantable, Insertable, and Wearable Cardiac Device Evaluations	93260-93298
Echocardiography Procedures	93303-93356
Cardiac Catheterization Procedures	93451-93592
Intracardiac Electrophysiological Procedures/Studies	93600-93662
Peripheral Arterial Disease Rehabilitation	93668-93668
Non-invasive Physiologic Studies and Procedures	93701-93790
Home and Outpatient International Normalized Ratio (INR) Monitoring Services	93792-93793
Other Cardiovascular Procedures	93797-93799

Shunting Procedures

Diagnosis	CPT Codes
Transcatheter arterial septostomy (TAS) for congenital cardiac anomalies	33741
Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies	33745

Also, the code for each additional intracardiac shunt location is +33746. However, this should be listed separately.

Percutaneous Ventricular Assist Device (VAD)

Here, you can see the different common CPT cardiology codes for Insertion of ventricular assist device, percutaneous, including radiological S&I:

Right Heart, Venous Access Only	33995
Left Heart, Arterial Access Only	33990

Other CPT codes for VAD:

Left Heart, Both Arterial and Venous Access, with Transeptal Puncture	33991
Removal of Percutaneous Left Heart Ventricular Assist Device, Arterial or Arterial and Venous Cannula(s), at a separate and distinct session from insertion (Includes removal of cannulas).	33992
Removal of Percutaneous Right Heart Ventricular Assist Device, Venous Cannula, at a separate and distinct session from insertion.	33997
Repositioning of Percutaneous Right or Left Heart Ventricular Assist Device with Imaging Guidance at a separate and distinct session from insertion.	33993

Interatrial Septal Shunt Device

Diagnosis	CPT Codes
Percutaneous Transcatheter Implantation of Interatrial Septal Shunt Device, including Right and Left Heart Catheterization, Intracardiac Echocardiography, and Imaging Guidance by the Proceduralist, when performed.	0613T

Replacement of Substernal Defibrillator Generator

Diagnosis	CPT Codes
Removal and Replacement of Substernal Implantable Defibrillator Pulse Generator	0614T

Automated Quantification of Plaque

Diagnosis	CPT Codes
Automated Quantification and Characterization of Coronary Atherosclerotic Plaque to Assess Severity of Coronary Disease, using Data from Coronary Computed Tomographic Angiography; Data Preparation and Transmission, Computerized Analysis of Data, with Review of Computerized Analysis Output to Reconcile Discordant Data, Interpretation, and Report	0623T
Data Preparation and Transmission	0624T
Computerized Analysis of Data from Coronary Computed Tomographic Angiography	0625T
Review of Computerized Analysis Output to Reconcile Discordant Data, Interpretation, and Report	0626T

Endovascular Venous Arterialization

Diagnosis

CPT Codes

Endovascular Venous Arterialization Tibial, or Peroneal Vein, with Transcatheter Placement of Intravascular Stent Graft(s) and Closure by Any Method, Including Percutaneous or Open Vascular Access, Ultrasound Guidance for Vascular Access when performed, All Catheterization(s) and Intraprocedural Road-mapping and Imaging Guidance Necessary to Complete the Intervention, All Associated S&I when performed

0620T

Transcatheter Ultrasound Ablation of Nerves of Pulmonary Arteries

Diagnosis	CPT Codes
Percutaneous Transcatheter Ultrasound Ablation of Nerves Innervating the Pulmonary Arteries, Including Right Heart Catheterization, Pulmonary Angiography, and All Imaging Guidance	0632T

In summary, these are some common cardiology codes used in the US revenue cycle management. It is important to ensure correct codes are used and avoid making any errors during data entry. Before entering the medical coding & billing industry, one must get trained and certified by a reputed institution.

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