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
Cardiovascular disease, Unspecified
Congestive Heart Failure
Carotid Artery Occlusion, Bilateral
Carotid Artery Stenosis, Bilateral
Carotid Artery Occlusion
Carotid Artery Stenosis
Ischaemic Cerebrovascular Disease
Peripheral Vascular Disease
Circulatory System Diseases
Angina Pectoris, NOS
Myocardial Infarction, Acute, Anterior (initial episode of care)
Myocardial Infarction, Acute, Unspecified (initial episode of care)
ASHD Coronary Artery
CAD (Coronary Artery Disease)/ASHD
Old Myocardial Infarction
Coronary Atherosclerosis Due To Calcified Coronary Lesion
Chronic Ischaemic Heart Disease
Malignant Hypertension Heart Disease with Heart Failure
Benign Hypertension Heart Disease with Heart Failure
Unspecified Hypertension Heart Disease with Heart Failure
Malignant Hypertension Heart Disease without Heart Failure
Benign Hypertension Heart Disease without Heart Failure
Unspecified Hypertension Heart Disease without Heart Failure
Metabolic and Nutritional Diseases
Diabetes Mellitus, II with Hyperglycemia
Diabetes Mellitus, II Controlled
Vitamin D Deficiency
Elevated Fasting Glucose
Impaired Fasting Glucose
Supplementary Health Status
Screening for Lipid Disorders
Long Term Use of High-Risk Medication
Family History of Cardiovascular Disease
Family History of Ischemic Heart Disease
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.
Therapeutic Cardiovascular Services and Procedures
Cardiovascular Monitoring Services
Implantable, Insertable, and Wearable Cardiac Device Evaluations
Home and Outpatient International Normalized Ratio (INR) Monitoring Services
Other Cardiovascular Procedures
Transcatheter arterial septostomy (TAS) for congenital cardiac anomalies
Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies
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
Left Heart, Arterial Access Only
Other CPT codes for VAD:
Left Heart, Both Arterial and Venous Access, with Transeptal Puncture
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).
Removal of Percutaneous Right Heart Ventricular Assist Device, Venous Cannula, at a separate and distinct session from insertion.
Repositioning of Percutaneous Right or Left Heart Ventricular Assist Device with Imaging Guidance at a separate and distinct session from insertion.
Interatrial Septal Shunt Device
Percutaneous Transcatheter Implantation of Interatrial Septal Shunt Device, including Right and Left Heart Catheterization, Intracardiac Echocardiography, and Imaging Guidance by the Proceduralist, when performed.
Replacement of Substernal Defibrillator Generator
Removal and Replacement of Substernal Implantable Defibrillator Pulse Generator
Automated Quantification of Plaque
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
Data Preparation and Transmission
Computerized Analysis of Data from Coronary Computed Tomographic Angiography
Review of Computerized Analysis Output to Reconcile Discordant Data, Interpretation, and Report
Endovascular Venous Arterialization
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
Transcatheter Ultrasound Ablation of Nerves of Pulmonary Arteries
Percutaneous Transcatheter Ultrasound Ablation of Nerves Innervating the Pulmonary Arteries, Including Right Heart Catheterization, Pulmonary Angiography, and All Imaging Guidance
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.